Organization · Type 2 NPI

Clarkston Opco LLC

Skilled Nursing Facility · Clarkston, MI

NPI number 1114891587 Active

Practice location

4800 Clintonville Rd
Clarkston, MI 48346-4297

Call (248) 674-0903 Map

Fax (248) 674-3431

Mailing address

3701 W Lunt Ave
Lincolnwood, IL 60712-2615

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1114891587

Clarkston Opco LLC's National Provider Identifier is 1114891587, issued on Sep 30, 2025. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Clarkston, MI. The record was last updated on Aug 27, 2026.