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CRG LYNWOOD LLC NPI 1467836411


NPI Information

NPI: 1467836411
Provider Name: CRG LYNWOOD, LLC

Doing Business As: LYNWOOD MANOR HEALTHCARE CENTER

Classification: Durable Medical Equipment & Medical Supplies - 332BN1400X
Entity Type: Organization

Specialization: Nursing Facility Supplies

CLIA Number: 23D0378673

Address:
730 KIMOLE LN
ADRIAN, MI
ZIP 49221
Phone: (517) 263-6771
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CRG LYNWOOD, LLC is a nursing facility supplies durable medical equipment medical supplies in Adrian, MI. CRG LYNWOOD, LLC NPI is 1467836411. The provider is registered as an organization entity type.
The provider Is Doing Business As Lynwood Manor Healthcare Center.

The provider's business location address is:

730 KIMOLE LN
ADRIAN, MI
ZIP 49221-463
Phone: (517) 263-6771

The provider's authorized official is Abraham Gutnicki .
The authorized official title is Manager and has the following contact phone number (847) 933-9280.

The CLIA number assigned to this NPI record is 23D0378673 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/18/2015 and was last updated on 7/20/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332BN1400XDurable Medical Equipment & Medical SuppliesNursing Facility SuppliesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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