Shangrila Home
NPI #1982099586 in Berrien Springs, Michigan
Provider Information
- NPI Number
- 1982099586
- Entity Type
- Organization
- Organization Name
- Shangrila Home
- Primary Specialty
- Custodial Care Facility
- Enumeration Date
- Mar 31, 2015
- Last Updated
- Mar 31, 2015
Practice Location
- Address
- 8876 KEPHART LN
- City
- Berrien Springs
- State
- Michigan
- ZIP Code
- 49103-1440
- Phone
- (269) 473-7000
Authorized Official
- Name
- DYAN A LEE
- Title
- GENERAL MANAGER
- Phone
- (269) 473-7000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility |
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