Organization
AHSL SPRING LAKE OPERATIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT GILLETTE NHA (CHIEF OPERATING OFFICE)
(248) 203-1800
Entity
Organization
Contact information
Practice address
18100 174TH AVE, SPRING LAKE, MI 49456-9766
(616) 844-2880
Mailing address
6755 TELEGRAPH RD, SUITE 330, BLOOMFIELD HILLS, MI 48301-3180
(248) 203-1800
(248) 203-2929
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
AL 700364917
MI
310400000X
Assisted Living Facility
Primary
AL 700364920
MI
310400000X
Assisted Living Facility
AL 700365243
MI
311500000X
Alzheimer Center (Dementia Center)
AL 700365146
MI
Other
Enumeration date
10/10/2014
Last updated
10/10/2014
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