Organization
STONE RIDGE AFC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM SOWLE (OWNER/ADMIN)
(616) 335-4865
Entity
Organization
Contact information
Practice address
4825 FRUIN RD, BELLEVUE, MI 49021-8209
(269) 758-3388
(269) 758-3488
Mailing address
4825 FRUIN RD, BELLEVUE, MI 49021-8209
(269) 758-3388
(269) 758-3488
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
311500000X
Alzheimer Center (Dementia Center)
Primary
—
—
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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