| NPI | 1780010629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT A REENDERS Authorized Agent 616-842-2425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MI AH730257847) |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2013-09-24 |