Edgwood Mi Opco LLC
NPI #1962379404 in Three Rivers, Michigan
Provider Information
- NPI Number
- 1962379404
- Entity Type
- Organization
- Organization Name
- Edgwood Mi Opco LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 20, 2025
- Last Updated
- Dec 10, 2025
Practice Location
- Address
- 55378 WILBUR RD
- City
- Three Rivers
- State
- Michigan
- ZIP Code
- 49093-8815
- Phone
- (732) 330-2157
Authorized Official
- Name
- ESTI PRUZANSKY
- Title
- AR
- Phone
- (732) 330-2157
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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