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Organization
SILVER SPARROW AFC HOME
Active
Organization
SILVER SPARROW AFC HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA JO ALEXANDER (SOLE PROPRIETOR AND AFC PROVIDER)
(616) 881-5898
Entity
Organization
Contact information
Practice address
1316 ELLIOTT ST SE, GRAND RAPIDS, MI 49507-2851
(616) 881-5898
Mailing address
1316 ELLIOTT ST SE, GRAND RAPIDS, MI 49507-2851
(616) 881-5898
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AF410287362
MI
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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