Organization
WHITE LAKE ASSISTED LIVING
Active
Parent organization
LEISURE LIVING MANAGMENT
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEISURE LIVING MANAGMENT
Authorized official
MS. LINDSEY HALEY (DIRECTOR OF OPERATIONS)
(616) 901-2986
Entity
Organization
Contact information
Practice address
6827 WHITEHALL RD, WHITEHALL, MI 49461-9656
(231) 893-8730
(231) 894-9417
Mailing address
3196 KRAFT AVE SE, SUITE 200, GRAND RAPIDS, MI 49512-2078
(616) 464-1564
(616) 464-2470
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
AH610314487
MI
310400000X
Assisted Living Facility
Primary
AH610314487
MI
Other
Enumeration date
08/20/2013
Last updated
08/26/2013
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