NPI | 1235454356 |
---|---|
Doing Business As | EVERGREEN TERRACE ASSISTED LIVING - LABORATORY |
Entity Type | Organization |
Authorized Contact | THOMAS NOBEL President 231-527-1050 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MI 23D1102189) |
Enumeration Date | 2010-03-31 |
Last Update Date | 2011-03-17 |