Organization
EASTPORT VILLAGE CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM COOK (OWNER)
(231) 599-3833
Entity
Organization
Contact information
Practice address
5988 M-88, EASTPORT, MI 49627
(231) 599-3833
Mailing address
PO BOX 264, EASTPORT, MI 49627-0264
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL050307046
MI
Other
Enumeration date
06/04/2013
Last updated
06/04/2013
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