NPI 1023445988

Summit Professional Placements, INC.

Organisation Custodial Care Facility Berrien Springs, MI

Practice location

Address: 11165 US Highway 31, Berrien Springs, MI 49103-1547
Phone: (269) 815-5190
Fax: (269) 815-5281

Authorised official

Name: Ledenila Tago Fonner
Title: President/Secretary
Phone: (269) 815-5190

Registered specialties

Custodial Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311Z00000X Licence AS110299000 (MI)

Other Custodial Care Facility providers in Michigan →

Registry record

NPI: 1023445988
Entity type: Organization
NPI issued: 8 Oct 2013
Record last updated: 8 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.