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Organization
AUSABLE VALLEY CONTINUING CARE RETIREMENT COMMUNITY, INC.
Active
Organization
AUSABLE VALLEY CONTINUING CARE RETIREMENT COMMUNITY, INC.
Active
Other names
Wellspring Lutheran Services
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY ROBERT KALBFLEISCH (CFO)
(248) 635-3316
Entity
Organization
Contact information
Practice address
1390 MAPLE DR, FAIRVIEW, MI 48621-8703
(989) 848-2241
(989) 848-5526
Mailing address
1390 MAPLE DR, FAIRVIEW, MI 48621-8703
(989) 848-2241
(989) 848-5526
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
MI
314000000X
Skilled Nursing Facility
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2152404
—
MI
Enumeration date
10/11/2005
Last updated
09/24/2024
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