Organization
EXTENDED CARE AT FREMONT, LLC
Active
Other names
Extended Care At Fremont
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN GERDEMAN (CEO)
(419) 494-4008
Entity
Organization
Contact information
Practice address
54 FREMONT ST, BATTLE CREEK, MI 49017-3831
(419) 494-4008
Mailing address
747 TAMARACK AVE NW, GRAND RAPIDS, MI 49504-4348
(194) 944-0084
(616) 317-1112
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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