Organization
STONERIDGE ADULT FOSTER CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE LYNN MOORE RN (MANAGER)
(269) 758-3388
Entity
Organization
Contact information
Practice address
4825 FRUIN RD, BELLEVUE, MI 49021-8209
(269) 758-3388
(269) 758-3488
Mailing address
4825 FRUIN RD, BELLEVUE, MI 49021-8209
(269) 758-3388
(269) 758-3488
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
AL080338716
MI
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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