Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grace Haven Assisted Living LLC

Organization Clinical Medical Laboratory · NPI 1053636167

Grace Haven Assisted Living LLC is a Clinical Medical Laboratory in Saint Johns, Michigan. Licensed in Michigan. Registered with an NPI since 2010.

Licensed in
MI
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1507 Glastonbury Dr
Saint Johns, MI 48879-8235
Phone: (989) 224-1650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X · Licence 23D1102195 (MI)

Record details

NPI number1053636167
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Nobel — President · (989) 224-1650
Other names Grace Haven Assisted Living - Laboratory
NPI enumeratedMarch 31, 2010
Last updated in NPPESMarch 23, 2011
Mailing address1507 Glastonbury Dr, Saint Johns, MI 48879-8235

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