Organization
AHSL JENISON OPERATIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT GILLETTE NHA (CHIEF OPERATING OFFICE)
(248) 203-1800
Entity
Organization
Contact information
Practice address
8001 COTTONWOOD DR, JENISON, MI 49428-8304
(616) 457-9815
Mailing address
6755 TELEGRAPH RD, SUITE 330, BLOOMFIELD HILLS, MI 48301-3180
(248) 203-1800
(248) 203-2929
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
AL 700364907
MI
310400000X
Assisted Living Facility
AL 700365137
MI
310400000X
Assisted Living Facility
Primary
AL 700365135
MI
310400000X
Assisted Living Facility
AL 700365136
MI
311500000X
Alzheimer Center (Dementia Center)
AL 700365138
MI
311500000X
Alzheimer Center (Dementia Center)
AL 700364908
MI
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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