Eastport Village Care Home
Organization Active NPI Assisted Living Facility · Eastport, MI
NPI 1972940641 · NPPES record last updated Jun 4, 2013
Key facts
- NPI
- 1972940641
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- AL050307046 (MI)
- Legal business name
- EASTPORT VILLAGE CARE HOME
- Practice address
- 5988 M-88
Eastport, MI 49627 - Phone
- (231) 599-3833
- NPI assigned
- Jun 4, 2013
- Organization subpart
- No
Authorized official
- Name
- William Cook
- Title
- Owner
- Phone
- (231) 599-3833
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL050307046 | MI | Yes |
Addresses
Primary practice location
5988 M-88
Eastport, MI 49627
Mailing address
PO Box 264
Eastport, MI 49627-0264
Other providers in Eastport, MI
All providers in Eastport, 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 4, 2013. 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.