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Organization

COUNTRY HAVEN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS CRONKRIGHT (OWNER)
(616) 291-0530
Entity
Organization

Contact information

Practice address
413 E MUSKEGON ST, CEDAR SPRINGS, MI 49319-9596
(616) 291-0530
Mailing address
413 E MUSKEGON ST, CEDAR SPRINGS, MI 49319-9596

Taxonomy

Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AM410008796
MI

Other

Enumeration date
05/03/2017
Last updated
05/03/2017
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