# COGNITIVE AND THERAPEUTIC COMPREHENSIVE HOME HEALTH

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

## Provider details

- **NPI number:** 1649655564
- **Authorized official:** MR. TIMOTHY ROLAND FRAIN (CEO)
- **Authorized official phone:** (616) 719-9992

## Contact information

- **Practice address:** 800 MONROE AVE NW, SUITE 102, GRAND RAPIDS, MI 49503-1445
- **Practice address phone:** (616) 421-4800
- **Practice address fax:** (616) 499-7083
- **Mailing address:** 800 MONROE AVE NW, SUITE 102, GRAND RAPIDS, MI 49503-1445
- **Mailing address phone:** (616) 421-4800
- **Mailing address fax:** (616) 499-7083

## Taxonomy

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

## Other

- **Enumeration date:** 07/21/2015
- **Last updated:** 07/21/2015
