Healthcare Provider Details

I. General information

NPI: 1851619332
Provider Name (Legal Business Name): ATRIUM TIMBERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2010
Last Update Date: 04/16/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55432 COLBY STREET
DOWAGIAC MI
49047
US

IV. Provider business mailing address

5000 HAKES DR SUITE 600
NORTON SHORES MI
49441-5574
US

V. Phone/Fax

Practice location:
  • Phone: 269-782-2828
  • Fax:
Mailing address:
  • Phone: 231-799-6870
  • Fax: 231-799-0250

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. SUSAN ALBRIGHT ROSS
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 614-416-0600