Organization
RESOLUTE ADULT LIVING FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA TILLMAN (LICENSEE)
(616) 243-4696
Entity
Organization
Contact information
Practice address
1414 EASTERN AVE SE, GRAND RAPIDS, MI 49507-2024
(616) 243-4696
(616) 243-4695
Mailing address
1414 EASTERN AVE SE, GRAND RAPIDS, MI 49507-2024
(616) 243-4696
(616) 243-4695
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AS410363656
MI
Other
Enumeration date
02/18/2017
Last updated
02/18/2017
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