Organization
SAKSHAUG GROUP HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN EDWARD SAKSHAUG (CEO/OWNER)
(616) 877-4131
Entity
Organization
Contact information
Practice address
9371 WESTVIEW DR SE, BYRON CENTER, MI 49315-9324
(616) 877-4131
(616) 877-4231
Mailing address
9371 WESTVIEW DR SE, BYRON CENTER, MI 49315-9324
(616) 877-4131
(616) 877-4231
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
AS410351759
MI
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
AS410381371
MI
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
AS410315452
MI
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
AS41035452
MI
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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