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