Organization
LIFECARE, INC.
Active
Other names
Friendship Village
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL DAVID GOODRICH (DIRECTOR OF ACCOUNTING)
(269) 381-0560
Entity
Organization
Contact information
Practice address
1400 N DRAKE RD, KALAMAZOO, MI 49006
(269) 381-0560
(269) 381-5354
Mailing address
1400 N DRAKE RD, KALAMAZOO, MI 49006-1978
(269) 381-0560
(269) 381-5354
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
394170
MI
Other
Enumeration date
11/01/2005
Last updated
08/28/2019
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