| NPI | 1437467255 |
|---|---|
| Doing Business As | FOREST GLEN ASSISTED LIVING - LABORATORY |
| Entity Type | Organization |
| Authorized Contact | THOMAS NOBEL President 269-782-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MI 23D1102204) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2010-09-14 |