Organization
CROCKERY CREEK ELDER CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY LEE MARSMAN (OWNER - PRESIDENT)
(231) 206-2265
Entity
Organization
Contact information
Practice address
12291 CROCKERY CREEK DR., RAVENNA, MI 49451
(231) 853-8452
(231) 853-8492
Mailing address
12291 CROCKERY CREEK DR, RAVENNA, MI 49451-8831
(231) 853-8452
(231) 853-8492
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AF610238757
MI
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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