# MARY FREE BED SUB-ACUTE REHABILITATION

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

## Provider details

- **NPI number:** 1285019802
- **Authorized official:** PAMELA LATOVICK (VP REIMBURSEMENT)
- **Authorized official phone:** (734) 343-6628

## Contact information

- **Practice address:** 235 WEALTHY ST SE, 5TH FLOOR, GRAND RAPIDS, MI 49503-5247
- **Practice address phone:** (616) 840-8330
- **Mailing address:** 235 WEALTHY ST SE, 5TH FLOOR, GRAND RAPIDS, MI 49503-5247
- **Mailing address phone:** (616) 840-8330

## Taxonomy

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

## Other

- **Enumeration date:** 07/24/2015
- **Last updated:** 02/27/2025
