OrganizationActive
Crestwood Village Assisted Living
NPI 1114351152 · Exclusive Provider Organization · Mt. Pleasant, MI
Provider details
- NPI number
- 1114351152
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Parent organization
- Leisure Living Management
- Organization subpart
- Yes
- Authorized official
- Samantha Thelen, Director of Operations(517) 881-6051
- License
- AH370325563 (MI)
Specialties & taxonomies
Managed Care Organizations
Practice location
2378 South Lincoln Rd
Mt. Pleasant, MI 48858
Phone: (989) 772-2183
Fax: (989) 772-2296
Approximate (ZIP-level) locationGet directions
Mailing address
3196 Kraft Ave Se
Grand Rapids, MI 49512-2078
Registry dates
- Enumerated
- 2013-08-27
- Last updated
- 2015-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.