Crestwood Village Assisted Living

NPI 1114351152 - Exclusive Provider Organization - 302F00000X

NPI Details
NPI 1114351152
Enumeration Date 08/27/2013
Last Updated 03/09/2015
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name SAMANTHA SAMANTHA
Position DIRECTOR OF OPERATIONS
Phone (989) 772-2183
Fax (989) 772-2296
Practice Location
2378 SOUTH LINCOLN RD
MT. PLEASANT MI, 48858, US
Phone (989) 772-2183
Fax (989) 772-2296
Business Location
3196 KRAFT AVE SE
SUITE 200
GRAND RAPIDS MI, 49512-2078, US
Phone (616) 464-1564
Fax (616) 464-2470
Toxanomy
Taxonomy Code 302F00000X
License State Michigan
License Number AH370325563
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According to our database, Crestwood Village Assisted Living NPI is 1114351152, taxonomy code is 302F00000X and license number is AH370325563, license state is located at Michigan. Crestwood Village Assisted Living physically located at 2378 South Lincoln Rd, Mt. Pleasant MI, 48858. NPI Number 1033115704 has the healthcare provider type.

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1114351152 NPI number is provided on an as is basis without warranty of any kind. 1114351152 is maintained by the National Plan & Provider Enumeration System. The contents of Crestwood Village Assisted Living are for informational purposes only.