Organization
KISS
Active
Other names
Kiss
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN WARD (OFFICE MANAGER)
(616) 333-3503
Entity
Organization
Contact information
Practice address
2130 ENTERPRISE ST SE STE 232, KENTWOOD, MI 49508-5352
(616) 333-3503
Mailing address
2130 ENTERPRISE ST SE STE 232, KENTWOOD, MI 49508-5352
(616) 333-3503
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
06/07/2019
Last updated
08/09/2021
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