White Lake Assisted Living

NPI 1053744599 - Exclusive Provider Organization - 302F00000X

NPI Details
NPI 1053744599
Enumeration Date 08/20/2013
Last Updated 08/26/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name LINDSEY LINDSEY
Position DIRECTOR OF OPERATIONS
Phone (231) 893-8730
Fax (231) 894-9417
Practice Location
6827 WHITEHALL RD
WHITEHALL MI, 49461-9656, US
Phone (231) 893-8730
Fax (231) 894-9417
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 AH610314487
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According to our database, White Lake Assisted Living NPI is 1053744599, taxonomy code is 302F00000X and license number is AH610314487, license state is located at Michigan. White Lake Assisted Living physically located at 6827 Whitehall Rd, Whitehall MI, 49461-9656. NPI Number 1033115704 has the healthcare provider type.

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1053744599 NPI number is provided on an as is basis without warranty of any kind. 1053744599 is maintained by the National Plan & Provider Enumeration System. The contents of White Lake Assisted Living are for informational purposes only.