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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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