| NPI | 1093719718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE VERNON ROLSTON Administrator 616-453-7715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MI 414270) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MI 414270) |
| 310400000X Assisted Living Facility (Licence: MI AH410236894) | |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2009-05-29 |