Organization
DEVONSHIRE RETIREMENT VILLAGE, LLC
Active
Other names
Devonshire Retirement Village - Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS NOBEL (PRESIDENT)
(810) 245-7646
Entity
Organization
Contact information
Practice address
101 DEVONSHIRE DR, LAPEER, MI 48446-2855
(810) 245-7646
Mailing address
101 DEVONSHIRE DR, LAPEER, MI 48446-2855
(810) 245-7646
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
23D1102013
MI
Other
Enumeration date
07/09/2010
Last updated
07/09/2010
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