# MARYWOOD HOME HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174893226
- **Authorized official:** MS. DONNA H. BARBER REGISTERED (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (616) 643-0305

## Contact information

- **Practice address:** 2025 E FULTON ST, GRAND RAPIDS, MI 49503-3898
- **Practice address phone:** (616) 643-0305
- **Mailing address:** 2025 EAST FULTON ST, GRAND RAPIDS, MI 49503
- **Mailing address phone:** (616) 643-0305

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/06/2012
- **Last updated:** 01/06/2012