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South Coast Home Llc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in South Haven, Michigan
NPI 1033776919

South Coast Home Llc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Macatawa, MI. South Coast Home Llc practices in South Haven, MI. The NPI Number for South Coast Home Llc is 1033776919 and holds a License No. (Michigan).

The current practice location address for South Coast Home Llc is 72633 M 43, South Haven, MI and can be reached out via phone at 269-998-9349.

Location: 72633 M 43, South Haven, MI, 49434-0029
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033776919
Provider Name
South Coast Home Llc
Credential
Provider Entity Type
Organization
Address
72633 M 43, South Haven, MI, 49434-0029
Phone Number
269-998-9349
Fax Number
Provider Enumeration Date
05/25/2019
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
72633 M 43
City
South Haven
State
Michigan
Zip
49090-8734
Phone Number
269-998-9349
Fax Number
person
Provider Business Mailing Address Details
Address
72633 M 43
City
South Haven
State
Michigan
Zip
49090-8734
Phone Number
269-998-9349
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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