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Organization
PROFESSIONAL EXPERIENCED ASSISTANT CARING FOR THE ELDERLY OF MIND
Active
Organization
PROFESSIONAL EXPERIENCED ASSISTANT CARING FOR THE ELDERLY OF MIND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ZACHARY ZWART (PRESIDENT OF SALES & MARKETING)
(320) 444-6680
Entity
Organization
Contact information
Practice address
2410 INVERNESS ROAD, GRAND RAPIDS, MI 49546
(616) 920-0369
Mailing address
2410 INVERNESS RD SE, GRAND RAPIDS, MI 49546-5529
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
347C00000X
Private Vehicle
—
NULL
Other
Enumeration date
08/23/2017
Last updated
06/16/2018
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