location
search-icon
person
Mr. Tyler Mark Ly
Adult Care Home Facility in Rockford, Michigan
NPI 1487182960

Tyler Mark Ly is an Adult Care Home Facility based in Rockford, MI and is specialized in Adult Care Home. Tyler Mark Ly practices in Rockford, MI. The NPI Number for Tyler Mark Ly is 1487182960 and holds a License No. AF410343519 (Michigan).

The current practice location address for Tyler Mark Ly is 5430 Polar Bear Ct Ne, Rockford, MI and can be reached out via phone at 616-260-8194 and via fax at 616-883-6531.

Location: 5430 Polar Bear Ct Ne, Rockford, MI, 49341-7517
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487182960
Provider Name
Tyler Mark Ly
Credential
Provider Entity Type
Individual
Gender
Male
Address
5430 Polar Bear Ct Ne, Rockford, MI, 49341-7517
Phone Number
616-260-8194
Fax Number
616-883-6531
Provider Enumeration Date
05/30/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5430 Polar Bear Ct Ne
City
Rockford
State
Michigan
Zip
49341-7517
Phone Number
616-260-8194
Fax Number
616-883-6531
person
Provider Business Mailing Address Details
Address
5430 Polar Bear Ct Ne
City
Rockford
State
Michigan
Zip
49341-7517
Phone Number
616-260-8194
Fax Number
616-883-6531
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
AF410343519 (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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.