Organization · Type 2 NPI
White Lake Assisted Living
Assisted Living Facility · Whitehall, MI
NPI number
1053744599
Active
Practice location
6827 Whitehall Rd
Whitehall, MI 49461-9656
Fax (231) 894-9417
Mailing address
3196 Kraft Ave SE, Suite 200
Grand Rapids, MI 49512-2078
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Exclusive Provider Organization | 302F00000X | AH610314487 (MI) |
| Assisted Living Facility Primary | 310400000X | AH610314487 (MI) |
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.
Other assisted living facility providers in Whitehall
About NPI 1053744599
White Lake Assisted Living's National Provider Identifier is 1053744599, issued on Aug 20, 2013. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Whitehall, MI. The record was last updated on Aug 26, 2013.