OrganizationActive
East Marshall LLC
NPI 1730912197 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Marshall, MI
Provider details
- NPI number
- 1730912197
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Herbert Kavunja, Administrator(269) 248-6004
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
20125 E Michigan Ave
Marshall, MI 49068-9307
Phone: (269) 248-6004
Approximate (ZIP-level) locationGet directions
Mailing address
20125 E Michigan Ave
Marshall, MI 49068-9307
Other names (DBA / former)
- Doing business as
- Sunny Side Senior Cares
Registry dates
- Enumerated
- 2024-08-21
- Last updated
- 2024-08-21
- Certified
- 2024-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.