# MARYWOOD HEALTH CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Marywood Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235479767
- **Authorized official:** MS. LISA MCMICHAEL (NURSING HOME ADMINISTRATOR)
- **Authorized official phone:** (616) 490-2942

## Contact information

- **Practice address:** 111 LAKESIDE DR NE, GRAND RAPIDS, MI 49503-3811
- **Practice address phone:** (616) 456-1993
- **Practice address fax:** (616) 454-6105
- **Mailing address:** 4450 CASCADE RD SE, STE 200, GRAND RAPIDS, MI 49546-8330
- **Mailing address phone:** (616) 949-4975
- **Mailing address fax:** (616) 954-1795

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 02/20/2013
- **Last updated:** 03/27/2013