# GRAND RIVER BANDS OF OTTAWA INDIANS INC.

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

## Provider details

- **NPI number:** 1568732634
- **Authorized official:** RONALD FRANCIS YOB (CHAIRPERSON)
- **Authorized official phone:** (616) 458-8759

## Contact information

- **Practice address:** 671 DAVIS AVE NW, GRAND RAPIDS, MI 49504-5139
- **Practice address phone:** (616) 451-6767
- **Mailing address:** PO BOX 2937, 1251 PLAINFIELD N.E., GRAND RAPIDS, MI 49501-2937

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 410300 | MI | Yes |

## Other

- **Enumeration date:** 01/06/2012
- **Last updated:** 01/06/2012