- Enrollment id
- O20260328000253
- Enrollment state
- MI
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1326912791
- Multiple npi flag
- N
- Ccn
- 235363
- Associate id
- 3375028244
- Organization name
- FLINT OPCO LLC
- Doing business as name
- VILLA AT BEECHER PLACE
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- VILLA AT BEECHER PLACE
- Affiliation entity name
- VILLA HEALTHCARE
- Affiliation entity id
- 550
- Address line 1
- G3201 BEECHER RD
- City
- FLINT
- State
- MI
- Zip code
- 485323615