NPI 1023195468

Petoskey Geriatric Village, INC

Organisation Skilled Nursing Facility Petoskey, MI

Practice location

Address: 1500 Spring St, Petoskey, MI 49770-9295
Phone: (231) 347-5500
Fax: (231) 347-3504
Mailing address: 11700 E 10 Mile Rd, Warren, MI 48089-3903

Authorised official

Name: Donald James Bortz
Title: President
Phone: (586) 759-5966

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 244010 (MI)

Other Skilled Nursing Facility providers in Michigan →

Registry record

NPI: 1023195468
Entity type: Organization
NPI issued: 1 Nov 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.