Grace Haven Assisted Living Llc

NPI 1053636167 - Clinical Medical Laboratory - 291U00000X

NPI Details
NPI 1053636167
Enumeration Date 03/31/2010
Last Updated 03/23/2011
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name THOMAS THOMAS
Position PRESIDENT
Phone (989) 224-1650
Fax
Practice Location
1507 GLASTONBURY DR
SAINT JOHNS MI, 48879-8235, US
Phone (989) 224-1650
Fax
Business Location
1507 GLASTONBURY DR
SAINT JOHNS MI, 48879-8235, US
Phone (989) 224-1650
Fax
Toxanomy
Taxonomy Code 291U00000X
License State Michigan
License Number 23D1102195
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According to our database, Grace Haven Assisted Living Llc NPI is 1053636167, taxonomy code is 291U00000X and license number is 23D1102195, license state is located at Michigan. Grace Haven Assisted Living Llc physically located at 1507 Glastonbury Dr, Saint Johns MI, 48879-8235. NPI Number 1033115704 has the healthcare provider type.

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1053636167 NPI number is provided on an as is basis without warranty of any kind. 1053636167 is maintained by the National Plan & Provider Enumeration System. The contents of Grace Haven Assisted Living Llc are for informational purposes only.