| NPI | 1033287792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID TIESENGA CFO 616-235-5035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-08-22 |