| NPI | 1508962069 |
|---|---|
| Doing Business As | BOULDER PARK TERRACE |
| Entity Type | Organization |
| Authorized Contact | DAVID BELLAMY CFO 231-487-4094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MI 235526) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2017-08-28 |