Pharaoh's Rest Haven, L.l.c

NPI #1548927296 in Jackson, Michigan

Provider Information

NPI Number
1548927296
Entity Type
Organization
Organization Name
Pharaoh's Rest Haven, L.l.c
Primary Specialty
Assisted Living Facility
Enumeration Date
Nov 17, 2021
Last Updated
Nov 17, 2021

Practice Location

Address
1044 S MARTIN LUTHER KING JR DR
ZIP Code
49203-3273
Phone
(517) 879-7434

Authorized Official

Name
JZSA-JAZA ANDRE GIBSON, REGISTERED NURSE
Title
ADMINISTRATOR
Phone
(517) 879-7434

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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