IVY LANE RESIDENCE LLC

WYOMING, MI
NPI1679341770
Entity TypeOrganization
Authorized ContactNAJIB MOALIN
Director
612-232-5643
Organization Subpart ?No
Primary Taxonomy311ZA0620X Custodial Care Facility, Adult Care Home
Enumeration Date2023-12-18
Last Update Date2023-12-18
Business Address
IVY LANE RESIDENCE LLC
4897 GRENADIER DR SW
WYOMING, MI 49509-5021
Phone number: 612-232-5643
Mailing Address
IVY LANE RESIDENCE LLC
4897 GRENADIER DR SW
WYOMING, MI 49509-5021
Phone number:
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