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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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