# HARBOR REHABILITATION LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HARBOR REHABILITATION INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689748972
- **Authorized official:** MS. THERESA RENKER MS CCC SLP (DIRECTOR)
- **Authorized official phone:** (616) 643-0833

## Contact information

- **Practice address:** 22 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4304
- **Practice address phone:** (616) 643-0833
- **Practice address fax:** (616) 643-0844
- **Mailing address:** PO BOX 150272, GRAND RAPIDS, MI 49515-0272
- **Mailing address phone:** (616) 643-0833
- **Mailing address fax:** (616) 643-0844

## Taxonomy

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

## Other

- **Enumeration date:** 11/20/2006
- **Last updated:** 03/14/2012