Healthcare Provider Details

I. General information

NPI: 1386216810
Provider Name (Legal Business Name): TRUE CARE LIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2021
Last Update Date: 07/14/2021
Certification Date: 07/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

565 GENERAL AVE
SPRINGFIELD MI
49037
US

IV. Provider business mailing address

565 GENERAL AVE
SPRINGFIELD MI
49037
US

V. Phone/Fax

Practice location:
  • Phone: 269-968-3365
  • Fax: 269-620-6135
Mailing address:
  • Phone: 269-968-3365
  • Fax: 269-620-6135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: ELIYAHU ASHER GABAY
Title or Position: CEO
Credential:
Phone: 818-288-0903