Organization
TRAVERSE VICTORIAN ASSISTED LIVING, LLC
Active
Other names
Traverse Victorian Assisted Living, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM MARTIN EDDINGTON (REPRESENTATIVE)
(231) 218-2948
Entity
Organization
Contact information
Practice address
461 MUNSON AVE, TRAVERSE CITY, MI 49686-3577
(231) 947-4626
Mailing address
461 MUNSON AVE, TRAVERSE CITY, MI 49686-3577
(231) 947-4626
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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