# CHRYSALIS SERVICES, LLC

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

## Provider details

- **NPI number:** 1477063204
- **Authorized official:** STEPHEN DOUGLAS KACMAR (OWNER)
- **Authorized official phone:** (616) 312-8480

## Contact information

- **Practice address:** 1247 LINCOLN RD STE B, ALLEGAN, MI 49010-9735
- **Practice address phone:** (269) 512-7200
- **Practice address fax:** (269) 686-8433
- **Mailing address:** 501 WASHINGTON AVE, HOLLAND, MI 49423-4170
- **Mailing address phone:** (616) 312-8480
- **Mailing address fax:** (269) 686-8433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/06/2017
- **Last updated:** 01/16/2024