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1295208882
GRACEWAY SOUTH HAVEN, LLC
SOUTH HAVEN, MI
NPI
1295208882
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Entity Type
Organization
Authorized Contact
ANTHONY FISCHER
CEO
734-624-4887
Organization Subpart ?
No
Primary Taxonomy
314000000X Skilled Nursing Facility
Enumeration Date
2019-01-07
Last Update Date
2019-01-07
Business Address
GRACEWAY SOUTH HAVEN, LLC
120 BASELINE RD
SOUTH HAVEN, MI 49090-1037
Phone number: 269-637-8411
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Mailing Address
GRACEWAY SOUTH HAVEN, LLC
1001 WOODWARD AVE FL 5
DETROIT, MI 48226-1904
Phone number:
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