NPI 1093255804

Wallace Street Partners LLC

Organisation Assisted Living Facility (Mental Illness) Ashley, MI

Practice location

Address: 211 W Wallace St, Ashley, MI 48806-9605
Phone: (989) 847-2188
Fax: (989) 847-2183

Authorised official

Name: Stephanie Lee Seifert
Title: Administrator
Phone: (989) 847-2188

Registered specialties

Assisted Living Facility (Mental Illness) Primary

Nursing & Custodial Care Facilities Taxonomy 3104A0625X Licence AL290252478 (MI)

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Registry record

NPI: 1093255804
Entity type: Organization
NPI issued: 27 Feb 2017
Record last updated: 27 Feb 2017

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.