Organization
COPTIC CARES LLC
Active
Other names
Tree of Life AFC
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER BLACQUIERE (PARTNER)
(616) 510-3142
Entity
Organization
Contact information
Practice address
7 ARTHUR ST, GRANT, MI 49327-9786
(616) 510-3142
Mailing address
7 ARTHUR ST, GRANT, MI 49327-9786
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
11/24/2021
Last updated
11/24/2021
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