NPI 1922623248 · live from the CMS NPI Registry
Douglas Mi Opco LLC
Skilled Nursing Facility in Douglas, MI. National Provider Identifier 1922623248, active.
NPI record
| NPI | 1922623248 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 243 Wiley Rd, Douglas, MI 49406 |
| Practice phone | 269-857-2141 |
| Mailing address | 440 Sylvan Ave Ste 240, Englewood Cliffs, NJ 07632 |
| Enumerated | June 11, 2020 |
| Last updated | June 11, 2020 |
| Authorized official | Batya Gorelick, Vp Of Admin Services |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Respite Care | 385H00000X | — |
| Skilled Nursing Facility primary | 314000000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.