Organization Name: | AHSL SPRING LAKE OPERATIONS, LLC |
NPI Number: | 1174927735 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT GILLETTE (CHIEF OPERATING OFFICE) |
Mailing Address: | 18100 174th Ave Spring Lake |
State: | MI US |
Postal Code: | 494569766 |
Phone Number: | 6168442880 |
Fax Number: | |
NPI Enumeration Date: | 10/10/2014 |
NPI Last Update Date: | 10/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | AL 700364917 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |