| NPI | 1053636167 |
|---|---|
| Doing Business As | GRACE HAVEN ASSISTED LIVING - LABORATORY |
| Entity Type | Organization |
| Authorized Contact | THOMAS NOBEL President 989-224-1650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MI 23D1102195) |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2011-03-23 |