OrganizationActive
Great Lakes Specialty Hospital - Oak LLC
NPI 1609800614 · Long Term Care Hospital · Grand Rapids, MI
Provider details
- NPI number
- 1609800614
- Entity type
- Organization
- Primary specialty
- Long Term Care HospitalHospitals
- Authorized official
- Michael Tarvin, Vice President
- License
- 610052 (MI)
Practice location
200 Jefferson Ave Se
5th Floor
Grand Rapids, MI 49503-4502
Phone: (231) 777-6202
Fax: (231) 777-6207
Mailing address
4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
Registry dates
- Enumerated
- 2006-07-10
- Last updated
- 2015-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.