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Organization

HEATHCLIFFE HAVEN ASSISTED LIVING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRADFORD OAKLEY MARTELL (OWNER/LICENSEE)
(616) 402-0477
Entity
Organization

Contact information

Practice address
2611 HEATHCLIFF ST SE, GRAND RAPIDS, MI 49546-5621
(616) 570-0818
(616) 570-0818
Mailing address
2752 SCHINDLER DR NW, GRAND RAPIDS, MI 49544-9115
(616) 402-0477
(616) 228-4398

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
AS410380386
MI

Other

Enumeration date
02/19/2017
Last updated
02/19/2017
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