Organization
VAB SENIOR LIMITED DIVIDEND HOUSING ASSOCIATION LLC
Active
Other names
Village at Bloomfield
Organization subpart
No
Provider details
NPI number
Authorized official
LISA L ALEXANDER (COMPLIANCE DIRECTOR)
(248) 392-5521
Entity
Organization
Contact information
Practice address
1957 S. TELEGRAPH RD., PONTIAC, MI 48341
(248) 213-8403
(989) 885-5906
Mailing address
1957 S. TELEGRAPH RD., PONTIAC, MI 48341
(248) 213-8403
(989) 885-5906
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3867
INDEPENDENT LIVING FACILITY
MI
Enumeration date
11/08/2022
Last updated
11/08/2022
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