OrganizationActive
Shangrila Home
NPI 1982099586 · Custodial Care Facility · Berrien Springs, MI
Provider details
- NPI number
- 1982099586
- Entity type
- Organization
- Primary specialty
- Custodial Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Dyan Lee, General Manager(269) 473-7000
- License
- AF110000791 (MI)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
8876 Kephart Ln
Berrien Springs, MI 49103-1440
Phone: (269) 473-7000
Fax: (269) 473-8876
Approximate (ZIP-level) locationGet directions
Mailing address
8876 Kephart Ln
Berrien Springs, MI 49103-1440
Registry dates
- Enumerated
- 2015-03-31
- Last updated
- 2015-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.