Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACIA NICHOLE LARIVE
Active Sole ProprietorSTACIA NICHOLE LARIVE is a Assisted Living Facility healthcare provider located in CADILLAC, Michigan. NPI 1497368187 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · CADILLAC, MI
Registration Details
- NPI Number
- 1497368187
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 24, 2020 (5.785217495122 yrs)
- Last Updated
- Aug 24, 2020
- License
-
AF830403510 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
105 VINE STCADILLAC, MI, 496012435Browse MI providers · Browse ZIP 49601
- Phone
- 2318841988
- Primary Specialty
-
Assisted Living Facility
311ZA0620X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.