Provider Demographics
NPI:1588782494
Name:ROBBINSWOOD LIVING CENTRE LTD. PARTNERSHIP
Entity type:Organization
Organization Name:ROBBINSWOOD LIVING CENTRE LTD. PARTNERSHIP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BANDSTRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:231-799-6870
Mailing Address - Street 1:5000 HAKES DR
Mailing Address - Street 2:SUITE 600
Mailing Address - City:NORTON SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:49441-5574
Mailing Address - Country:US
Mailing Address - Phone:231-799-6870
Mailing Address - Fax:231-799-0250
Practice Address - Street 1:1125 ROBBINS RD
Practice Address - Street 2:
Practice Address - City:GRAND HAVEN
Practice Address - State:MI
Practice Address - Zip Code:49417-2780
Practice Address - Country:US
Practice Address - Phone:616-842-1900
Practice Address - Fax:616-842-9350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility