NPI 1679248496

Sanford West LLC

Organisation Psychiatric Residential Treatment Facility Marne, MI

Practice location

Address: 15146 16th Ave, Marne, MI 49435-9605
Phone: (616) 288-6970

Authorised official

Name: Stephanie Robinson Talbert
Title: Credentialing & Contracting Manage
Phone: (616) 520-9074

Registered specialties

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X

Other Psychiatric Residential Treatment Facility providers in Michigan →

Registry record

NPI: 1679248496
Entity type: Organization
NPI issued: 13 Aug 2021
Record last updated: 2 Nov 2022

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.