Organization
AUSABLE VALLEY CONTINUING CARE RETIREMENT COMMUNITY, INC.
Active
Other names
Wellspring Lutheran Services
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY ROBERT KALBFLEISCH (CFO)
(248) 635-3316
Entity
Organization
Contact information
Practice address
1390 MAPLE DR, FAIRVIEW, MI 48621-8703
(989) 848-2241
(989) 848-5526
Mailing address
1390 MAPLE DR, FAIRVIEW, MI 48621-8703
(989) 848-2241
(989) 848-5526
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
MI
314000000X
Skilled Nursing Facility
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2152404
—
MI
Enumeration date
10/11/2005
Last updated
09/24/2024
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