Organization
CHRISTIAN REST HOME ASSOCIATION
Active
Other names
CHRISTIAN REST HOME
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES HORJUS (CHIEF FINANCIAL OFFICER)
(616) 453-2475
Entity
Organization
Contact information
Practice address
1000 EDISON AVE NW, GRAND RAPIDS, MI 49504-3918
(616) 453-2475
(616) 453-2645
Mailing address
1000 EDISON AVE NW, GRAND RAPIDS, MI 49504-3918
(616) 453-2475
(616) 453-2645
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
414020
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60/2151793
—
MI
Enumeration date
08/31/2005
Last updated
06/13/2008
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