Stacia Nichole Larive
Stacia Nichole Larive is an Adult Care Home Facility in Cadillac, Michigan. Practices as a sole proprietor. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2020
Practice location Address checks out
105 Vine StCadillac, MI 49601-2435
Phone: (231) 884-1988
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Care Home Facility (primary) | Taxonomy 311ZA0620X · Licence AF830403510 (MI) |
|---|
Record details
| NPI number | 1497368187 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 24, 2020 |
| Last updated in NPPES | August 24, 2020 |
| Certification date | August 24, 2020 |