- Enrollment id
- O20040930000659
- Enrollment state
- MI
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1275531386
- Multiple npi flag
- N
- Ccn
- 235565
- Associate id
- 3173592615
- Organization name
- ATRIUM IRONWOOD LLC
- Doing business as name
- WESTGATE NURSING REHABILITATION & ASSISTED LIVING COMMUNITY
- Organization type structure
- LLC
- Proprietary nonprofit
- D
- Nursing home provider name
- WESTGATE NURSING & REHABILITATION COMMUNITY
- Affiliation entity name
- ATRIUM CENTERS
- Affiliation entity id
- 54
- Address line 1
- 1500 N LOWELL ST
- City
- IRONWOOD
- State
- MI
- Zip code
- 499381249