Ivy Lane Residence Llc

LBN: Ivy Lane Residence Llc
Ivy Lane Residence Llc is an health care organization with primary practice located at 4897 Grenadier Dr Sw , Wyoming MI 49509-5021. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. Ivy Lane Residence Llc can be contacted via phone (612) 232-5643, or through Moalin, Najib via phone (612) 232-5643.

Contact Information

Primary practice address
4897 Grenadier Dr Sw Wyoming MI 49509-5021
Phone: (612) 232-5643
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Moalin, Najib
Phone: (612) 232-5643

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X

Profile Details

NPI number 1679341770
LBN Legal business name Ivy Lane Residence Llc
DBA Doing business as
Authorized official Moalin, Najib
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2023
Last updated Dec 18th, 2023 - about last year

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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