Organization
OLIVER WOODS RETIREMENT VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHA MEEUWSE-HUTSON (ADMINISTRATOR)
(989) 729-6060
Entity
Organization
Contact information
Practice address
1310 W OLIVER ST, OWOSSO, MI 48867-2156
(989) 729-6060
Mailing address
3196 KRAFT AVE SE, SUITE 200, GRAND RAPIDS, MI 49512-2078
(616) 464-1564
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL780258989
MI
310400000X
Assisted Living Facility
AL780262260
MI
310400000X
Assisted Living Facility
AL780282845
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23D1102234
CLIA
MI
Enumeration date
11/17/2009
Last updated
11/17/2009
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