Gaylord Opco, LLC

NPI #1154848224 in Gaylord, Michigan

Provider Information

NPI Number
1154848224
Entity Type
Organization
Organization Name
Gaylord Opco, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Aug 29, 2017
Last Updated
Aug 29, 2017

Practice Location

Address
508 RANDOM LN
ZIP Code
49735-9304
Phone
(989) 732-3508

Authorized Official

Name
MR. STACEY PAUL ROGERS
Title
CHIEF FINANCIAL OFFICER
Phone
(502) 429-8062

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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