Organization
EASTPORT VILLAGE CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE WHITE (OWNER)
(231) 631-1836
Entity
Organization
Contact information
Practice address
5988 N M 88, CENTRAL LAKE, MI 49622-9464
(231) 631-1836
Mailing address
PO BOX 264, EASTPORT, MI 49627-0264
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/19/2021
Last updated
03/22/2021
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