Provider Demographics
NPI:1801223078
Name:ILA ENTERPRISES INC
Entity type:Organization
Organization Name:ILA ENTERPRISES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KENDRA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:SCHUMAKER
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:616-530-6700
Mailing Address - Street 1:10159 EAST RIVERSHORE SE
Mailing Address - Street 2:
Mailing Address - City:ALTO
Mailing Address - State:MI
Mailing Address - Zip Code:49302-9683
Mailing Address - Country:US
Mailing Address - Phone:616-530-6700
Mailing Address - Fax:616-530-6767
Practice Address - Street 1:2024 HEALTH DR SW
Practice Address - Street 2:SUITE B
Practice Address - City:WYOMING
Practice Address - State:MI
Practice Address - Zip Code:49519-9501
Practice Address - Country:US
Practice Address - Phone:616-530-6700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-03
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care