PINE RIDGE ADULT CARE HOME, LLC is an assisted living facility in West Olive, 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. PINE RIDGE ADULT CARE HOME, LLC NPI is 1730514290. The provider is registered as an organization entity type.
The provider Is Doing Business As Pine Ridge Assisted Living Facility.
The provider's business location address is:
15467 PORT SHELDON ST
WEST OLIVE, MI
ZIP 49460-715
Phone: (616) 399-1774
Fax: (616) 738-0009
The provider's authorized official is Debra Ann Westerhof .
The authorized official title is Licensee and has the following contact phone number (616) 399-1774.
The CLIA number assigned to this NPI record is 23D2074048 - other - adult foster care with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/3/2013 and was last updated on 9/3/2013.