| NPI | 1760609101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE L CLAUSON Director Of Operations 616-285-0573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |