CRG LYNWOOD LLC NPI 1467836411

NPI Information

  • NPI: 1467836411
  • Provider Name: CRG LYNWOOD, LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332BN1400X
  • Specialization: Nursing Facility Supplies
  • Entity Type: Organization
  • Doing Business As: LYNWOOD MANOR HEALTHCARE CENTER
  • CLIA Number: 23D0378673
  • Address: 730 KIMOLE LN
    ADRIAN, MI
    ZIP 49221
  • Phone: (517) 263-6771

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NPI Details

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?

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This page was last updated on: 11/21/2025

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