Organization
FOREST GLEN ASSISTED LIVING, LLC
Active
Other names
Forest Glen Assisted Living - Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS NOBEL (PRESIDENT)
(269) 782-5300
Entity
Organization
Contact information
Practice address
29601 AMERIHOST DR, DOWAGIAC, MI 49047-8320
(269) 782-5300
Mailing address
29601 AMERIHOST DR, DOWAGIAC, MI 49047-8320
(269) 782-5300
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
23D1102204
MI
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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