Individual provider · Type 1 NPI
Rose Marie Bouck
Adult Care Home Facility · Gowen, MI
NPI number
1073081907
Active
Practice location
12700 Lincoln Lake Ave
Gowen, MI 49326
Fax (616) 712-6002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | AF410395782 (MI) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Another provider at this address
Other adult care home facility providers in Gowen
About NPI 1073081907
Rose Marie Bouck's National Provider Identifier is 1073081907, issued on Nov 8, 2018. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Gowen, MI. The record was last updated on Nov 8, 2018.