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Organization
A SECOND CHANCE AT LIFE HOME CARE INC.
Active
Organization
A SECOND CHANCE AT LIFE HOME CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ROBERTSON (OWNER)
(616) 389-7800
Entity
Organization
Contact information
Practice address
3212 EASTERN AVE SE STE D, GRAND RAPIDS, MI 49508-2403
(616) 482-7703
Mailing address
1644 GIDDINGS AVE SE, GRAND RAPIDS, MI 49507-2225
(616) 389-7802
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
Other
Enumeration date
01/16/2018
Last updated
01/16/2018
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