Organization
BROOKSIDE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM FRAZIER (OWNER)
(269) 373-3842
Entity
Organization
Contact information
Practice address
5078 SOLVEL ST, KALAMAZOO, MI 49004-1915
(269) 373-3842
Mailing address
PO BOX 244, KALAMAZOO, MI 49004-0244
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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