NPI 1710124045

Lifecircles

Organisation PACE Provider Organization Muskegon, MI

Practice location

Address: 560 Seminole Rd, Muskegon, MI 49444-3720
Phone: (231) 733-8686
Fax: (231) 733-8683

Authorised official

Name: Robert Holmes Mills
Title: Executive Director
Phone: (231) 733-8686

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X Licence H2936 (MI)

Other Program of All-Inclusive Care for the Elderly (PACE) Provider Organization providers in Michigan →

Registry record

NPI: 1710124045
Entity type: Organization
NPI issued: 8 Jan 2009
Record last updated: 8 Jan 2009

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.