Organization
PLEASANT PINES AFC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIJAH CRAIG ENGLISH (OWNER/ADMINISTRATOR)
(231) 679-2986
Entity
Organization
Contact information
Practice address
15063 180TH AVE, BIG RAPIDS, MI 49307-9513
(231) 796-4757
(231) 796-4757
Mailing address
15063 180TH AVE, BIG RAPIDS, MI 49307-9513
(231) 796-4757
(231) 796-4757
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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