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Organization
COUNTRY HAVEN
Active
Organization
COUNTRY HAVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS CRONKRIGHT (OWNER)
(616) 291-0530
Entity
Organization
Contact information
Practice address
413 E MUSKEGON ST, CEDAR SPRINGS, MI 49319-9596
(616) 291-0530
Mailing address
413 E MUSKEGON ST, CEDAR SPRINGS, MI 49319-9596
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AM410008796
MI
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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