Great Living Foster Care
NPI #1487066734 in Berrien Springs, Michigan
Provider Information
- NPI Number
- 1487066734
- Entity Type
- Organization
- Organization Name
- Great Living Foster Care
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- May 21, 2014
- Last Updated
- May 21, 2014
Practice Location
- Address
- 8973 PIONEER CT
- City
- Berrien Springs
- State
- Michigan
- ZIP Code
- 49103-1700
- Phone
- (269) 815-2087
Authorized Official
- Name
- BERGELINE FLORVILUS, RN
- Title
- MANAGER
- Phone
- (269) 815-2087
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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