Organization
PROFESSIONAL EXPERIENCED ASSISTANT CARING FOR THE ELDERLY OF MIND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ZACHARY ZWART (PRESIDENT OF SALES & MARKETING)
(320) 444-6680
Entity
Organization
Contact information
Practice address
2410 INVERNESS ROAD, GRAND RAPIDS, MI 49546
(616) 920-0369
Mailing address
2410 INVERNESS RD SE, GRAND RAPIDS, MI 49546-5529
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
08/23/2017
Last updated
06/16/2018
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