Provider Demographics
NPI:1063046167
Name:ASSISTED LIVING SOLUTIONS INC
Entity Type:Organization
Organization Name:ASSISTED LIVING SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:KELLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:231-352-1000
Mailing Address - Street 1:119 AIRPORT RD
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:MI
Mailing Address - Zip Code:49635-9626
Mailing Address - Country:US
Mailing Address - Phone:231-352-1000
Mailing Address - Fax:231-352-8044
Practice Address - Street 1:119 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:MI
Practice Address - Zip Code:49635-9626
Practice Address - Country:US
Practice Address - Phone:231-352-1000
Practice Address - Fax:231-352-8044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-27
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility