Organization
GREAT LIVING FOSTER CARE
Active
Organization
GREAT LIVING FOSTER CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERGELINE FLORVILUS RN (MANAGER)
(269) 815-2087
Entity
Organization
Contact information
Practice address
8973 PIONEER CT, BERRIEN SPRINGS, MI 49103-1700
(269) 815-2087
(269) 815-5064
Mailing address
8973 PIONEER CT, BERRIEN SPRINGS, MI 49103-1700
(269) 815-2087
(269) 815-5064
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
AF110317417
MI
Other
Enumeration date
05/21/2014
Last updated
05/21/2014
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