Graceway South Haven, Llc

LBN: Graceway South Haven, Llc
Graceway South Haven, Llc is an health care organization with primary practice located at 120 Baseline Rd , South Haven MI 49090-1037. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Graceway South Haven, Llc can be contacted via phone (269) 637-8411, or through Fischer, Anthony via phone (734) 624-4887.

Contact Information

Primary practice address
120 Baseline Rd South Haven MI 49090-1037
Phone: (269) 637-8411
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fischer, Anthony
Phone: (734) 624-4887

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1295208882
LBN Legal business name Graceway South Haven, Llc
DBA Doing business as
Authorized official Fischer, Anthony
Entity Organization
Organization subpart 1 No
Enumeration date Jan 7th, 2019
Last updated Jan 7th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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