# PORTER HILLS HOME HEALTH WEST

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

## Provider details

- **NPI number:** 1508845066
- **Authorized official:** AMY GENTHE PT (DIRECTOR OF QUALITY AND COMPLIANCE)
- **Authorized official phone:** (616) 719-4161

## Contact information

- **Practice address:** 3600 FULTON ST E, GRAND RAPIDS, MI 49546-1322
- **Practice address phone:** (616) 949-5140
- **Practice address fax:** (616) 575-5123
- **Mailing address:** 3600 FULTON ST E, GRAND RAPIDS, MI 49546-1322
- **Mailing address phone:** (616) 949-5140
- **Mailing address fax:** (616) 575-5123

## Taxonomy

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

## Other

- **Enumeration date:** 01/12/2006
- **Last updated:** 10/18/2022