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WATERS EDGE ASSISTED LIVING LLC NPI 1487133179


NPI Information

NPI: 1487133179
Provider Name: WATERS EDGE ASSISTED LIVING, LLC

Other Name: WATERS EDGE ASSISTED LIVING, LLC

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
4612 US 31 N
TRAVERSE CITY, MI
ZIP 49686
Phone: (231) 486-6213
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WATERS EDGE ASSISTED LIVING, LLC is an assisted living facility in Traverse City, MI. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. WATERS EDGE ASSISTED LIVING, LLC NPI is 1487133179. The provider is registered as an organization entity type.
The provider Other Name Is Waters Edge Assisted Living, Llc.

The provider's business location address is:

4612 US 31 N
TRAVERSE CITY, MI
ZIP 49686-761
Phone: (231) 486-6213

The provider's authorized official is William Martin Eddington .
The authorized official title is Representative and has the following contact phone number (231) 218-2948.

The enumeration date for this NPI number is 8/13/2018 and was last updated on 8/13/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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