Organization
LUDINGTON WOODS RETIREMENT VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLA ZATARGA (ADMINISTRATOR)
(231) 845-6100
Entity
Organization
Contact information
Practice address
502 N SHERMAN ST, LUDINGTON, MI 49431-1989
(231) 845-6100
Mailing address
3196 KRAFT AVE SE, SUITE 200, GRAND RAPIDS, MI 49512-2078
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
AL530245940
MI
310400000X
Assisted Living Facility
Primary
AL530245952
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23D1102192
CLIA
MI
Enumeration date
11/17/2009
Last updated
11/17/2009
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