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Organization
SPECTRUM HEALTH WORTH SERVICES
Active
Organization
SPECTRUM HEALTH WORTH SERVICES
Active
Parent organization
SPECTRUM HEALHT CONTINUING CARE
Other names
Spectrum Health Neuro Rehab Services-Residential
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECTRUM HEALHT CONTINUING CARE
Authorized official
MR. LAWRENCE J OBERST CPA (SHCC/DIRECTOR OF FINANCE)
(616) 486-2405
Entity
Organization
Contact information
Practice address
4130 KALAMAZOO AVE SE, MAIL CODE 017, GRAND RAPIDS, MI 49508-3605
(616) 455-7300
Mailing address
750 FULLER AVE NE, MAIL CODE 133, GRAND RAPIDS, MI 49503-1918
(616) 455-7300
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
07/06/2010
Last updated
07/06/2010
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