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Organization

HOPE SHORES LINDEN, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RYAN WICKSON (CEO)
(810) 964-0412
Entity
Organization

Contact information

Practice address
12237 N LINDEN RD, CLIO, MI 48420-8205
(810) 640-8228
Mailing address
13224 LAKE SHORE DR, FENTON, MI 48430-1020

Taxonomy

Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary

Other

Enumeration date
05/29/2024
Last updated
05/29/2024
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