Organization
CHERRY HILL HAVEN INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVON MARITA RYAN (DIRECTOR)
(231) 645-2341
Entity
Organization
Contact information
Practice address
4885 N LONG LAKE RD, TRAVERSE CITY, MI 49684-9605
(231) 645-2341
(231) 933-0706
Mailing address
4885 N LONG LAKE RD, TRAVERSE CITY, MI 49684-9605
(231) 645-2341
(231) 933-0706
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
R500238585517
MI
Other
Enumeration date
03/25/2013
Last updated
03/25/2013
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