Ivy Lane Residence Llc - Wyoming, MI

Ivy Lane Residence Llc

Adult Care Home Facility in Wyoming, Michigan

NPI 1679341770

Ivy Lane Residence Llc is an Adult Care Home Facility based in Wyoming, MI and is specialized in Adult Care Home. Ivy Lane Residence Llc practices in Wyoming, MI. The NPI Number for Ivy Lane Residence Llc is 1679341770 and holds a License No. (Michigan).

The current practice location address for Ivy Lane Residence Llc is 4897 Grenadier Dr Sw, Wyoming, MI and can be reached out via phone at 612-232-5643.

Location: 4897 Grenadier Dr Sw, Wyoming, MI, 49509-5021

NPI Number

1679341770

Provider Name

Ivy Lane Residence Llc

Credential

Provider Entity Type

Organization

Address

4897 Grenadier Dr Sw, Wyoming, MI, 49509-5021

Phone Number

612-232-5643

Fax Number

Provider Enumeration Date

12/18/2023

Last Update Date

03/13/2024

Address

4897 Grenadier Dr Sw

City

Wyoming

State

Michigan

Zip

49509-5021

Phone Number

612-232-5643

Fax Number

Address

4897 Grenadier Dr Sw

City

Wyoming

State

Michigan

Zip

49509-5021

Phone Number

612-232-5643

Fax Number

Type

Nursing & Custodial Care Facilities

Classification

Custodial Care Facility

Speciality

Adult Care Home

Taxonomy

311ZA0620X

License No.

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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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