Spring Lake Compassionate Living
NPI #1417398595 in Spring Lake, Michigan
Provider Information
- NPI Number
- 1417398595
- Entity Type
- Organization
- Organization Name
- Spring Lake Compassionate Living
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jul 17, 2013
- Last Updated
- Jul 18, 2013
Practice Location
- Address
- 16609 VILLA PKWY
- City
- Spring Lake
- State
- Michigan
- ZIP Code
- 49456-8835
- Phone
- (616) 414-5006
Authorized Official
- Name
- MR. DANIEL JAY MODDERMAN
- Title
- DESIGNEE
- Phone
- (616) 334-6262
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Physical Disabilities |
| Assisted Living Facility |
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