PINE VALLEY ASSISTED LIVING NPI 1649824913

NPI Information

PINE VALLEY ASSISTED LIVING is an assisted living facility in Kalamazoo, MI. The provider is 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. PINE VALLEY ASSISTED LIVING NPI is 1649824913. The provider is registered as an organization entity type.

The provider's business location address is:

1155 N 26TH ST
KALAMAZOO, MI
ZIP 49048-221
Phone: (269) 598-5595

The provider's authorized official is Thomas A. Ongwela .
The authorized official title is Adminstrator and has the following contact phone number (269) 598-5595.

The enumeration date for this NPI number is 7/25/2019 and was last updated on 7/25/2019.

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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