Organization
LEISURE LIVING MANAGEMENT OF FREMONT, INC.
Active
Other names
Fountain View of Fremont - Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS NOBEL (PRESIDENT)
(231) 924-5050
Entity
Organization
Contact information
Practice address
102 HILLCREST AVE, FREMONT, MI 49412-1348
(231) 924-5050
Mailing address
102 HILLCREST AVE, FREMONT, MI 49412-1348
(231) 924-5050
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
23D0975403
MI
Other
Enumeration date
07/09/2010
Last updated
07/09/2010
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