NPI | 1023473766 |
---|---|
Other Name | GREENVILLE CARE CENTER, INC. - VDCU |
Entity Type | Organization |
Authorized Contact | MARK A PIERSMA President 616-975-5205 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MI 594030) |
Enumeration Date | 2015-12-23 |
Last Update Date | 2015-12-23 |