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Organization
EXTENDED CARE AT FREMONT, LLC
Active
Organization
EXTENDED CARE AT FREMONT, LLC
Active
Other names
Extended Care At Fremont
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN GERDEMAN (CEO)
(419) 494-4008
Entity
Organization
Contact information
Practice address
54 FREMONT ST, BATTLE CREEK, MI 49017-3831
(419) 494-4008
Mailing address
747 TAMARACK AVE NW, GRAND RAPIDS, MI 49504-4348
(194) 944-0084
(616) 317-1112
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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