Grand Lake Operations, LLC
NPI #1720633639 in Saint Marys, Ohio
Provider Information
- NPI Number
- 1720633639
- Entity Type
- Organization
- Organization Name
- Grand Lake Operations, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Aug 7, 2019
- Last Updated
- Jun 26, 2020
Practice Location
- Address
- 1035 HAGER STREET
- City
- Saint Marys
- State
- Ohio
- ZIP Code
- 45885
- Phone
- (419) 394-3308
Authorized Official
- Name
- MARK S MCCLEERY
- Title
- CPA/MEMBER
- Phone
- (419) 238-0715
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
| Skilled Nursing Facility |
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