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Organization

CHRISTIAN REST HOME ASSOCIATION

Active
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Organization

CHRISTIAN REST HOME ASSOCIATION

Active
Other names
CHRISTIAN REST HOME
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES HORJUS (CHIEF FINANCIAL OFFICER)
(616) 453-2475
Entity
Organization

Contact information

Practice address
1000 EDISON AVE NW, GRAND RAPIDS, MI 49504-3918
(616) 453-2475
(616) 453-2645
Mailing address
1000 EDISON AVE NW, GRAND RAPIDS, MI 49504-3918
(616) 453-2475
(616) 453-2645

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
414020
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60/2151793
—
MI
Enumeration date
08/31/2005
Last updated
06/13/2008
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