Organization
NORTHCREST OPERATING CO.,INC.
Active
Other names
Northcrest Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON B REESE (PRESIDENT & CHIEF OPERATING OFFICER)
(614) 416-0600
Entity
Organization
Contact information
Practice address
2650 RUDDIMAN DR, NORTH MUSKEGON, MI 49445-3260
(231) 744-2447
(231) 744-2448
Mailing address
5000 HAKES DR, SUITE 600, NORTON SHORES, MI 49441-5574
(231) 799-6882
(231) 799-0250
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AH610236856
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AH610236856
STATE OF MICHIGAN DEPARTMENT OF HUMAN SERVICES
MI
Enumeration date
08/15/2013
Last updated
09/17/2013
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