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Organization
PORTER HILLS PRESBYTERIAN VILLAGE, INC.
Active
Organization
PORTER HILLS PRESBYTERIAN VILLAGE, INC.
Active
Other names
PORTER HILLS PRESBYTERIAN VILLAGE, INC., Porter Hills Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE LYNN MAAG (CHIEF RESIDENTIAL OFFICER)
(616) 460-9441
Entity
Organization
Contact information
Practice address
3600 E FULTON STREET, GRAND RAPIDS, MI 49546-1322
(616) 949-4971
(616) 974-1986
Mailing address
4450 CASCADE ROAD SE, SUITE 200, GRAND RAPIDS, MI 49546-8330
(616) 949-4975
(616) 954-1795
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2081429
—
MI
Enumeration date
02/19/2006
Last updated
03/29/2022
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