NPI | 1720350341 |
---|---|
Doing Business As | EDISON ASSISTED LIVING CENTER |
Entity Type | Organization |
Authorized Contact | JAMES HORJUS Administrator 616-453-0581 |
Organization Subpart ? | Yes |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MI AH410236778) |
Enumeration Date | 2012-01-27 |
Last Update Date | 2012-01-27 |