Marlene Arthur

Individual provider Active NPI Assisted Living Facility · Coopersville, MI

NPI 1689000952 · NPPES record last updated Sep 18, 2013

Key facts

NPI
1689000952
Entity type
Individual (NPI type 1)
Primary specialty
Assisted Living Facility 310400000X
License
AF700082027 (MI)
Practice address
356 Cleveland St W
Coopersville, MI 49404-9673
Phone
(616) 837-1106
Fax
(616) 837-1506
NPI assigned
Sep 18, 2013
Sex
Female
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

LicenseStateTypeSpecialty
AF700082027MIMDAssisted Living Facility

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AF700082027 MI Yes

Addresses

Primary practice location

356 Cleveland St W
Coopersville, MI 49404-9673

Mailing address

356 Cleveland St W
Coopersville, MI 49404-9673
Phone (616) 837-1106

Other providers in Coopersville, MI

All providers in Coopersville, MI · Assisted Living Facility in Michigan

Sources for this page

Verify at the official NPI Registry.