Organization
COMMUNITY CARE AFFORDABLE & SUPPORTIVE HOUSING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERICA BUCHANAN (OWNER)
(616) 514-2609
Entity
Organization
Contact information
Practice address
77 MONROE CENTER ST NW STE 600, GRAND RAPIDS, MI 49503-2911
(616) 514-2609
Mailing address
77 MONROE CENTER ST NW STE 600, GRAND RAPIDS, MI 49503-2911
(616) 514-2609
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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