Organization · Type 2 NPI
Crockery Creek Elder Care, Inc
Assisted Living Facility · Ravenna, MI
NPI number
1356740245
Active
Practice location
12291 Crockery Creek Dr.
Ravenna, MI 49451
Fax (231) 853-8492
Mailing address
12291 Crockery Creek Dr
Ravenna, MI 49451-8831
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | AF610238757 (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.
About NPI 1356740245
Crockery Creek Elder Care, Inc's National Provider Identifier is 1356740245, issued on Aug 18, 2014. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Ravenna, MI. The record was last updated on Aug 18, 2014.