Living Waters Buell Lake

NPI #1881201267 in Clio, Michigan

Provider Information

NPI Number
1881201267
Entity Type
Organization
Organization Name
Living Waters Buell Lake
Primary Specialty
Custodial Care Facility - Adult Care Home
Enumeration Date
Sep 29, 2020
Last Updated
Sep 29, 2020

Practice Location

Address
13515 N GENESEE RD
City
Clio
ZIP Code
48420-9190
Phone
(810) 686-1046

Authorized Official

Name
NICOLE CARISSA SABO
Title
DIRECTOR
Phone
(810) 686-1046

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility - Adult Care HomeAdult Care Home

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