Organization
GRANDHAVEN LIVING CENTER, LLC
Active
Other names
Grandhaven Living Center - Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS NOBEL (PRESIDENT)
(517) 485-5966
Entity
Organization
Contact information
Practice address
3145 W MOUNT HOPE AVE, LANSING, MI 48911-1665
(517) 485-5966
Mailing address
3145 W MOUNT HOPE AVE, LANSING, MI 48911-1665
(517) 485-5966
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
23D1102203
MI
Other
Enumeration date
07/09/2010
Last updated
07/09/2010
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