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

Prof. Thera Nichols

Individual provider Assisted Living Facility · NPI 1962291666

Prof. Thera Nichols is an Assisted Living Facility in Grass Lake, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2025

Practice location Address checks out

3775 Wolf Lake Rd
Grass Lake, MI 49240-9490
Phone: (517) 522-5013
Fax: (517) 522-5359
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 380418074 (MI)

Record details

NPI number1962291666
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 1, 2025
Last updated in NPPESMay 1, 2025
Certification dateMay 1, 2025
Mailing address3775 Wolf Lake Rd, Grass Lake, MI 49240-9490