Organization
NEW HAVEN ASSISTED LIVING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JOHN DYKSTRA (OWNER)
(616) 307-7719
Entity
Organization
Contact information
Practice address
231 4TH ST, LAKEVIEW, MI 48850-5024
(616) 307-7719
Mailing address
4364 LITTLE CREEK CT, CEDAR SPRINGS, MI 49319-7918
(616) 307-7719
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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