Provider Demographics
NPI:1710529524
Name:WELLTOWER OPCO GROUP LLC
Entity Type:Organization
Organization Name:WELLTOWER OPCO GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:MAZIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PILUT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-532-9559
Mailing Address - Street 1:46471 HAYES RD
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48315-5004
Mailing Address - Country:US
Mailing Address - Phone:586-532-9559
Mailing Address - Fax:586-532-9554
Practice Address - Street 1:46471 HAYES RD
Practice Address - Street 2:
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48315-5004
Practice Address - Country:US
Practice Address - Phone:586-532-9559
Practice Address - Fax:586-532-9554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-14
Last Update Date:2019-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility