| NPI | 1386911600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA DOROTHEA MUELLER Speech Language Pathologist 616-520-3959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 146010384) |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2011-12-01 |