OrganizationActive
Lifecircles
NPI 1710124045 · PACE Provider Organization · Muskegon, MI
Provider details
- NPI number
- 1710124045
- Entity type
- Organization
- Primary specialty
- PACE Provider OrganizationAgencies
- Organization subpart
- No
- Authorized official
- Robert Mills, Executive Director(231) 733-8686
- License
- H2936 (MI)
Specialties & taxonomies
Agencies
Practice location
560 Seminole Rd
Muskegon, MI 49444-3720
Phone: (231) 733-8686
Fax: (231) 733-8683
Approximate (ZIP-level) locationGet directions
Mailing address
560 Seminole Rd
Muskegon, MI 49444-3720
Registry dates
- Enumerated
- 2009-01-08
- Last updated
- 2009-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.