NPI 1245230671
Great Lakes Specialty Hosptial - Hackley LLC
Practice location
- Address
- 1700 Clinton St 2 South, 2nd and 3rd Floors, Muskegon, MI 49442-5502
- Phone
- (231) 728-5803
- Fax
- (231) 728-5820
- Mailing address
- 4714 Gettysburg Rd Legal Dept., Mechanicsburg, PA 17055-4325
Authorised official
- Name
- Michael E. Tarvin
- Title
- Vice President
- Phone
- (717) 972-1100
Registered specialties
Long Term Care Hospital
Primary
Registry record
- NPI
- 1245230671
- Entity type
- Organization
- NPI issued
- 28 Jul 2005
- Record last updated
- 29 Sep 2015
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.