Grand Pines Assisted Living Center
Assisted Living Facility in Grand Haven, MI. Organization (NPI-2).
NPI number1124454053
StatusActive
Last updated in NPPESSep 24, 2013
Details
- NPI
- 1124454053
- Entity type
- Organization (NPI-2)
- Legal business name
- Grand Pines Assisted Living Center
- Organization subpart
- No
- Enumeration date
- Sep 24, 2013
- Last updated
- Sep 24, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | AH700299440 | MI | Yes |
Practice location
1410 S Ferry StGrand Haven, MI 49417-2711
Phone 616-850-2150 · Fax 616-850-2158
Mailing address
1410 S Ferry StGrand Haven, MI 49417-2711
Phone 616-850-2150 · Fax 616-850-2158
Authorized official
Scott A Reenders
Authorized Agent
6168422425
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