Organization
GOLDEN LIFE AFC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE JOHN DYKSTRA (EXECUTIVE DIRECTOR)
(616) 307-7719
Entity
Organization
Contact information
Practice address
10710 ROY DR, GREENVILLE, MI 48838-9105
(616) 225-2231
Mailing address
4364 LITTLE CREEK CT, CEDAR SPRINGS, MI 49319-7918
(616) 307-7719
(616) 619-5929
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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