Organization
PINE RIDGE ADULT CARE HOME, LLC
Active
Other names
Pine Ridge Assisted Living Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA ANN WESTERHOF I (LICENSEE)
(616) 399-1774
Entity
Organization
Contact information
Practice address
15467 PORT SHELDON ST, WEST OLIVE, MI 49460-9715
(616) 399-1774
(616) 738-0009
Mailing address
15467 PORT SHELDON ST, WEST OLIVE, MI 49460-9715
(616) 399-1774
(616) 738-0009
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL700079149
MI
Other
Enumeration date
09/03/2013
Last updated
09/03/2013
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