Organization
PINE VALLEY ASSISTED LIVING
Active
Other names
Pine Valley Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS A. ONGWELA (ADMINSTRATOR)
(269) 598-5595
Entity
Organization
Contact information
Practice address
1155 N 26TH ST, KALAMAZOO, MI 49048-9221
(269) 598-5595
Mailing address
1155 N 26TH ST, KALAMAZOO, MI 49048-9221
(269) 598-5595
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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