Organization
RETIREMENT LIVING MANAGEMENT OF LOWELL
Active
Other names
Green Acres Lowell
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY JOHNSON (ADMINISTRATOR)
(616) 987-9115
Entity
Organization
Contact information
Practice address
11530 FULTON ST E, LOWELL, MI 49331-9609
(616) 987-9115
(616) 987-9122
Mailing address
11530 FULTON ST E, LOWELL, MI 49331-9609
(616) 987-9115
(616) 987-9122
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
AL410311105
MI
Other
Enumeration date
10/24/2013
Last updated
10/24/2013
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