Organization
GREENVILLE CARE CENTER, INC.
Active
Other names
Greenville Care Center, Inc. - VDCU
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A PIERSMA (PRESIDENT)
(616) 975-5205
Entity
Organization
Contact information
Practice address
828 E WASHINGTON ST, GREENVILLE, MI 48838-2056
(616) 754-7186
Mailing address
828 E WASHINGTON ST, GREENVILLE, MI 48838-2056
(616) 754-7186
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
594030
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578575957
—
MI
Enumeration date
12/23/2015
Last updated
12/23/2015
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