# ST ANN'S HOME

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

## Provider details

- **NPI number:** 1578739827
- **Authorized official:** MRS. KAREN FARHAT-HENDRICKS OTR (OCCUPATIONAL THERAPIST REGISTERED)
- **Authorized official phone:** (616) 735-1513

## Contact information

- **Practice address:** 2161 LEONARD NW, GRAND RAPIDS, MI 49504
- **Practice address phone:** (616) 453-7715
- **Practice address fax:** (616) 735-0633
- **Mailing address:** 3683 MAPLEBROOK DR NW, GRAND RAPIDS, MI 49534-2709
- **Mailing address phone:** (616) 735-1513

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 5201006651 | MI | Yes |

## Other

- **Enumeration date:** 05/07/2008
- **Last updated:** 05/07/2008