| NPI | 1982691564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN MESSICK Administrator 616-458-1133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MI 414230) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2020-08-22 |