Stacia Nichole Larive - Cadillac, MI

Stacia Nichole Larive

Adult Care Home Facility in Cadillac, Michigan

NPI 1497368187

Stacia Nichole Larive is an Adult Care Home Facility based in Cadillac, MI and is specialized in Adult Care Home. Stacia Nichole Larive practices in Cadillac, MI. The NPI Number for Stacia Nichole Larive is 1497368187 and holds a License No. AF830403510 (Michigan).

The current practice location address for Stacia Nichole Larive is 105 Vine St, Cadillac, MI and can be reached out via phone at 231-884-1988.

Location: 105 Vine St, Cadillac, MI, 49601-2435

NPI Number

1497368187

Provider Name

Stacia Nichole Larive

Credential

Provider Entity Type

Individual

Gender

Female

Address

105 Vine St, Cadillac, MI, 49601-2435

Phone Number

231-884-1988

Fax Number

Provider Enumeration Date

08/24/2020

Last Update Date

03/10/2024

Address

105 Vine St

City

Cadillac

State

Michigan

Zip

49601-2435

Phone Number

231-884-1988

Fax Number

Address

105 Vine St

City

Cadillac

State

Michigan

Zip

49601-2435

Phone Number

231-884-1988

Fax Number

Type

Nursing & Custodial Care Facilities

Classification

Custodial Care Facility

Speciality

Adult Care Home

Taxonomy

311ZA0620X

License No.

AF830403510 (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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