| NPI | 1710221478 |
|---|---|
| Doing Business As | PARK PLACE ASSISTED LIVING - LABORATORY |
| Entity Type | Organization |
| Authorized Contact | CONNIE L CLAUSON VP Operations 616-285-0573 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: MI 23D2048518) |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2020-09-24 |