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Organization

OLD FARM LIVING CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PATRICIA KAY CASE (OWNER)
(269) 473-3946
Entity
Organization

Contact information

Practice address
2689 E SNOW RD, BERRIEN SPRINGS, MI 49103-9637
(269) 473-3946
(269) 473-1518
Mailing address
2689 E SNOW RD, BERRIEN SPRINGS, MI 49103-9637
(269) 473-3946
(269) 473-1518

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AF110065445
MI

Other

Enumeration date
09/20/2013
Last updated
09/20/2013
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