23D2201668 CLIA NUMBER - MILL CREEK SENIOR LIVING COMMUNITY

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Laboratory Demographics

CLIA Number: 23D2201668

Facility Name: MILL CREEK SENIOR LIVING COMMUNITY

Facility Address:
1600 MILL CREEK COURT
MARQUETTE, MI
ZIP 49855
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Facility Phone Number: 906 225-5512

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1326328121

Taxonomy: 320700000X - Residential Treatment Facility, Physical Disabilities
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.

CLIA Record

Field Name	Field Value
CLIA Number	23D2201668
LAB Type	Assisted Living Facility
Facility Name	MILL CREEK SENIOR LIVING COMMUNITY
Street	1600 MILL CREEK COURT
City	MARQUETTE
State	MI
ZIP	49855
Phone	906 225-5512
CertificateType	4
CertificateEffectiveDate	11/23/2022
CertificateExpirationDate	11/22/2024
FacilityType	Waiver

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