HEATHCLIFFE HAVEN ASSISTED LIVING LLC NPI 1366981631

NPI Information

HEATHCLIFFE HAVEN ASSISTED LIVING, LLC is a residential treatment facility, intellectual and/or developmental disabilities in Grand Rapids, MI. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. HEATHCLIFFE HAVEN ASSISTED LIVING, LLC NPI is 1366981631. The provider is registered as an organization entity type.

The provider's business location address is:

2611 HEATHCLIFF ST SE
GRAND RAPIDS, MI
ZIP 49546-621
Phone: (616) 570-0818
Fax: (616) 570-0818

The provider's authorized official is Bradford Oakley Martell .
The authorized official title is Owner/licensee and has the following contact phone number (616) 402-0477.

The enumeration date for this NPI number is 2/19/2017 and was last updated on 2/19/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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