Organization
BRIARWOOD ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONI KELLERMAN (ADMINISTRATOR)
(269) 673-9536
Entity
Organization
Contact information
Practice address
620 ELY ST, ALLEGAN, MI 49010-1528
(269) 673-9536
Mailing address
3196 KRAFT AVE SE, SUITE 200, GRAND RAPIDS, MI 49512-2078
(616) 464-1564
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AH030293792
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23D1102194
CLIA
MI
Enumeration date
11/17/2009
Last updated
03/09/2015
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