23D2073380 CLIA NUMBER - SEMINOLE SHORES ASSISTED LIVING CENTER

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Laboratory Demographics

CLIA Number: 23D2073380

Facility Name: SEMINOLE SHORES ASSISTED LIVING CENTER

Facility Address:
850 SEMINOLE ROAD
NORTON SHORES, MI
ZIP 49441
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Facility Phone Number: 231 780-2944

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1043646979

Taxonomy: 310400000X - Assisted Living Facility
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.

CLIA Record

Field Name	Field Value
CLIA Number	23D2073380
LAB Type	Assisted Living Facility
Facility Name	SEMINOLE SHORES ASSISTED LIVING CENTER
Street	850 SEMINOLE ROAD
City	NORTON SHORES
State	MI
ZIP	49441
Phone	231 780-2944
CertificateType	4
CertificateEffectiveDate	2/18/2024
CertificateExpirationDate	2/17/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024