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WILDS RIVER REST
NPI 1750718078
Assisted Living Facility in Buchanan, MI

Active since October 01, 2013
12409 N RED BUD TRL, BUCHANAN, MI 49107(269) 695-6074(269) 697-0474 Get Directions Write a Review

NPPES record last updated: October 1, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Wilds River Rest NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILDS RIVER REST (NPI 1750718078) is a healthcare organization registered as an assisted living facility in Buchanan, Michigan and active in the NPI registry since October 2013. The organization lists Janice Ellen Wilds, Owner, as its authorized official.

NPPES Registry Identity

NPI1750718078
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameWILDS RIVER REST
Location Address12409 N RED BUD TRLBuchanan, MI 49107-9139
Mailing Address12409 N Red Bud TrlBuchanan, MI 49107-9139 · (269) 695-6074 · Fax (269) 697-0474
Phone(269) 695-6074
Fax(269) 697-0474
Organization SubpartNo
Authorized OfficialJanice Ellen WildsOwner · (269) 695-6074
Enumeration DateOctober 1, 2013
✔ NPI 1750718078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in MI · AM110064771
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Also ListedCustodial Care FacilityTaxonomy 311Z00000X · License AM110064771 (MI)
12409 N RED BUD TRL, Buchanan, MI 49107
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Frequently Asked Questions

What is WILDS RIVER REST's NPI number?

The NPI number assigned to this healthcare provider is 1750718078, enumerated as an "organization" on October 01, 2013.

Where is the provider located?

The provider is located at 12409 N RED BUD TRL BUCHANAN, MI 49107 and the phone number is (269) 695-6074.

What is the provider's specialty?

Assisted Living Facility with taxonomy code 310400000X.