NPI | 1649261488 |
---|---|
Doing Business As | FRIENDSHIP VILLAGE |
Entity Type | Organization |
Authorized Contact | RUSSELL DAVID GOODRICH Director Of Accounting 269-381-0560 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MI 394170) |
Enumeration Date | 2005-11-01 |
Last Update Date | 2019-08-28 |