| NPI | 1558609974 |
|---|---|
| Doing Business As | HEARTHSIDE ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | JACLYN MARIE CARNAHAN General Manager 906-635-6911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MI 18002165740) |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2013-01-18 |