Organization
GHAC3 NILES MI ALF TRS SUB LLC
Active
Other names
Brentwood of Niles Senior Living
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY GERARDOT (SR DIRECTO OF COMPLIANCE & REVENUE)
(260) 414-5085
Entity
Organization
Contact information
Practice address
1147 S 3RD ST, NILES, MI 49120-3472
(269) 684-9470
Mailing address
1102 CHESTNUT HILLS PKWY STE 100, FORT WAYNE, IN 46814-8728
(260) 414-5085
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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