Organization
THE LIVING ROOM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY BUSH (RVE MGMT)
(231) 487-4242
Entity
Organization
Contact information
Practice address
1 MACDONALD DR, PETOSKEY, MI 49770-4406
(231) 487-5300
Mailing address
416 CONNABLE AVE, PETOSKEY, MI 49770-2212
(231) 487-4000
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/15/2006
Last updated
08/22/2020
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