OrganizationActive
Retirement Living Management of Lowell
NPI 1174951446 · Custodial Care Facility · Lowell, MI
Provider details
- NPI number
- 1174951446
- Entity type
- Organization
- Primary specialty
- Custodial Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Kelly Johnson, Administrator(616) 987-9115
- License
- AL410311105 (MI)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
11530 Fulton St E
Lowell, MI 49331-9609
Phone: (616) 987-9115
Fax: (616) 987-9122
Approximate (ZIP-level) locationGet directions
Mailing address
11530 Fulton St E
Lowell, MI 49331-9609
Other names (DBA / former)
- Doing business as
- Green Acres Lowell
Registry dates
- Enumerated
- 2013-10-24
- Last updated
- 2013-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.