# COMMUNITY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COMMUNITY
- **Other names:** community, community
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1396404240
- **Legal business name:** COMMUNITY
- **Authorized official:** RAEKESHA MCMILLIAN ETC (OWNER)
- **Authorized official phone:** (616) 427-4570

## Contact information

- **Practice address:** 225 CORINNE ST SW, GRAND RAPIDS, MI 49507-1536
- **Practice address phone:** (616) 427-4570
- **Mailing address:** 1232 KALAMAZOO AVE SE, GRAND RAPIDS, MI 49507-1923
- **Mailing address phone:** (616) 427-4570

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/08/2021
- **Last updated:** 12/08/2021