Organization
ASSURED CARE ASSISTED LIVING, LLC
Active
Other names
The Willows - Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS NOBEL (PRESIDENT)
(269) 428-0715
Entity
Organization
Contact information
Practice address
3507 HOLLYWOOD RD, SAINT JOSEPH, MI 49085-9581
(269) 428-0715
Mailing address
3507 HOLLYWOOD RD, SAINT JOSEPH, MI 49085-9581
(269) 428-0715
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
23D1102227
MI
Other
Enumeration date
07/09/2010
Last updated
07/09/2010
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