MR. Tyler Mark Ly is an adult care home custodial care facility in Rockford, MI. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. MR. Tyler Mark Ly NPI is 1487182960. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
5430 POLAR BEAR CT NE
ROCKFORD, MI
ZIP 49341-517
Phone: (616) 260-8194
Fax: (616) 883-6531
The enumeration date for this NPI number is 5/30/2017 and was last updated on 7/21/2022.