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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. You can also correspond with Stacia Nichole Larive through the mailing address at 105 VINE ST, CADILLAC, MI - 49601-2435 (mailing address contact number: 231-884-1988).

Location: 105 Vine St, Cadillac, MI, 49601-2435
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
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
institution
Provider Business Practice Location Address Details
Address
105 Vine St
City
Cadillac
State
Michigan
Zip
49601-2435
Phone Number
231-884-1988
Fax Number
person
Provider Business Mailing Address Details
Address
105 Vine St
City
Cadillac
State
Michigan
Zip
49601-2435
Phone Number
231-884-1988
Fax Number
person
Provider's Taxonomy Details 1
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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