Robert Gulley
Individual provider Active NPI Assisted Living Facility · Ishpeming, MI
NPI 1538054440 · NPPES record last updated Jun 11, 2025
Key facts
- NPI
- 1538054440
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- AF520379592 (MI)
- Practice address
- 606 E High St
Ishpeming, MI 49849-1729 - Phone
- (906) 204-4378
- NPI assigned
- Jun 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AF520379592 | MI | MD | Assisted Living Facility |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AF520379592 | MI | Yes |
Addresses
Primary practice location
606 E High St
Ishpeming, MI 49849-1729
Mailing address
606 E High St
Ishpeming, MI 49849-1729
Phone (906) 204-4378
Other providers in Ishpeming, MI
- Michael Jacob Fredericks
- James Edward Frounfelter
- Sarah M Goupil
- John Gray Graham
- Dawn Rd Gregory
- Trevor Hanson
- Hugh E Hart
- Jennifer Haskell
- Alexandra Hayes
- Catherine Ann Hebert
All providers in Ishpeming, MI · Assisted Living Facility in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.