Organization
GRACE HAVEN SENIOR LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHELBY L MACK (ADMINISTRATOR)
(231) 631-2689
Entity
Organization
Contact information
Practice address
5191 N 41 1/2 RD, MANTON, MI 49663-9763
(231) 631-2689
(231) 824-7771
Mailing address
5191 N 41 1/2 RD, MANTON, MI 49663-9763
(231) 631-2689
(231) 824-7771
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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