NPI 1609800614

Great Lakes Specialty Hospital - Oak LLC

Organisation Long Term Care Hospital Grand Rapids, MI

Practice location

Address: 200 Jefferson Ave SE 5th Floor, Grand Rapids, MI 49503-4502
Phone: (231) 777-6202
Fax: (231) 777-6207
Mailing address: 4714 Gettysburg Rd Legal Dept, Mechanicsburg, PA 17055-4325

Authorised official

Name: Michael Tarvin
Title: Vice President
Phone: (717) 972-1100

Registered specialties

Long Term Care Hospital Primary

Hospitals Taxonomy 282E00000X Licence 610052 (MI)

Other Long Term Care Hospital providers in Michigan →

Registry record

NPI: 1609800614
Entity type: Organization
NPI issued: 10 Jul 2006
Record last updated: 28 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.