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Rose Marie Bouck
Adult Care Home Facility in Gowen, Michigan
NPI 1073081907

Rose Marie Bouck is an Adult Care Home Facility based in Gowen, MI and is specialized in Adult Care Home. Rose Marie Bouck practices in Gowen, MI. The NPI Number for Rose Marie Bouck is 1073081907 and holds a License No. AF410395782 (Michigan).

The current practice location address for Rose Marie Bouck is 12700 Lincoln Lake Ave, Gowen, MI and can be reached out via phone at 231-580-4533 and via fax at 616-712-6002.

Location: 12700 Lincoln Lake Ave, Gowen, MI, 49326-9403
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073081907
Provider Name
Rose Marie Bouck
Credential
Provider Entity Type
Individual
Gender
Female
Address
12700 Lincoln Lake Ave, Gowen, MI, 49326-9403
Phone Number
231-580-4533
Fax Number
616-712-6002
Provider Enumeration Date
11/08/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12700 Lincoln Lake Ave
City
Gowen
State
Michigan
Zip
49326
Phone Number
231-580-4533
Fax Number
616-712-6002
person
Provider Business Mailing Address Details
Address
12700 Lincoln Lake Ave
City
Gowen
State
Michigan
Zip
49326
Phone Number
231-580-4533
Fax Number
616-712-6002
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
AF410395782 (Michigan)
Definition
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.
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