# ST. ANN'S HOME

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

## Provider details

- **NPI number:** 1679740633
- **Authorized official:** MS. JILL ADAMS SLP (SPEECH THERAPIST)
- **Authorized official phone:** (616) 453-7715

## Contact information

- **Practice address:** 2161 LEONARD ST NW, GRAND RAPIDS, MI 49504-3829
- **Practice address phone:** (616) 453-7715
- **Mailing address:** 4259 CROOKED TREE RD SW APT 11, WYOMING, MI 49519-5265
- **Mailing address phone:** (517) 256-2800

## Taxonomy

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

## Other

- **Enumeration date:** 05/09/2008
- **Last updated:** 05/12/2008