Organization
EAST MARSHALL LLC
Active
Other names
Sunny Side Senior Cares
Organization subpart
No
Provider details
NPI number
Authorized official
HERBERT KAVUNJA (ADMINISTRATOR)
(269) 248-6004
Entity
Organization
Contact information
Practice address
20125 E MICHIGAN AVE, MARSHALL, MI 49068-9307
(269) 248-6004
Mailing address
20125 E MICHIGAN AVE, MARSHALL, MI 49068-9307
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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