Grace Haven Assisted Living LLC
NPI #1053636167 in Saint Johns, Michigan
Provider Information
- NPI Number
- 1053636167
- Entity Type
- Organization
- Organization Name
- Grace Haven Assisted Living LLC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Mar 31, 2010
- Last Updated
- Mar 23, 2011
Practice Location
- Address
- 1507 GLASTONBURY DR
- City
- Saint Johns
- State
- Michigan
- ZIP Code
- 48879-8235
- Phone
- (989) 224-1650
Authorized Official
- Name
- THOMAS NOBEL
- Title
- PRESIDENT
- Phone
- (989) 224-1650
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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