Organization
ASCENSION ASSISTED LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADFORD OAKLEY MARTELL (OWNER/LICENSEE)
(616) 402-0477
Entity
Organization
Contact information
Practice address
2646 LEONARD ST NW, GRAND RAPIDS, MI 49504-3760
(616) 427-3381
(616) 427-3381
Mailing address
2752 SCHINDLER DR NW, GRAND RAPIDS, MI 49544-9115
(616) 402-0477
(616) 228-4398
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
AS410338232
MI
Other
Enumeration date
02/19/2017
Last updated
02/19/2017
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