MEDICARE: FAMILIES MANOR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility	AF610273767	MI

General Provider Information

NPI Number	:	1881026680
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILIES MANOR

Provider Business Mailing Address
First Line	:	2330 RIVERWOOD DR
Second Line	:
City	:	TWIN LAKE
State	:	MI
Zip	:	49457-8870
Country	:	US
Telephone Number	:	231-744-8136
Fax Number	:

Provider Business Practice Location Address
First Line	:	2330 RIVERWOOD DR
Second Line	:
City	:	TWIN LAKE
State	:	MI
Zip	:	49457-8870
Country	:	US
Telephone Number	:	231-744-8136
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	PAULA REAMES
Credential	:
Telephone Number	:	231-206-0358

Provider Enumeration Date	:	08/02/2013
Last Update Date	:	08/02/2013

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Directions to “FAMILIES MANOR ” Practice Location

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