# CHERRY HEALTH

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

## Provider details

- **NPI number:** 1235594920
- **Authorized official:** MS. KIMBERLEY DAWN BARANOWSKI RDH (DENTAL HYGIENIST)
- **Authorized official phone:** (616) 776-2340

## Contact information

- **Practice address:** 101 SHELDON BLVD SE, GRAND RAPIDS, MI 49503-4262
- **Practice address phone:** (616) 776-2340
- **Mailing address:** 101 SHELDON BLVD SE, GRAND RAPIDS, MI 49503-4262
- **Mailing address phone:** (616) 776-2340

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | 2902009418 | MI | Yes |

## Other

- **Enumeration date:** 12/22/2015
- **Last updated:** 12/22/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2902009418 | — | MI |