NPI | 1265421051 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN A PANGLE President/CEO 616-452-1568 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MI 235401) |
Enumeration Date | 2005-10-14 |
Last Update Date | 2015-04-07 |