# GREENVILLE CARE CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Greenville Care Center, Inc. - VDCU
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023473766
- **Authorized official:** MARK A PIERSMA (PRESIDENT)
- **Authorized official phone:** (616) 975-5205

## Contact information

- **Practice address:** 828 E WASHINGTON ST, GREENVILLE, MI 48838-2056
- **Practice address phone:** (616) 754-7186
- **Mailing address:** 828 E WASHINGTON ST, GREENVILLE, MI 48838-2056
- **Mailing address phone:** (616) 754-7186

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 594030 | MI | Yes |

## Other

- **Enumeration date:** 12/23/2015
- **Last updated:** 12/23/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1578575957 | — | MI |