Organization
HOPE NETWORK REHABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW KENNETH NOVAK (THERAPEUTIC RECREATION AIDE)
(616) 560-2005
Entity
Organization
Contact information
Practice address
3492 LAKE DR SE, GRAND RAPIDS, MI 49546-4338
(616) 957-4057
Mailing address
3492 LAKE DR SE, GRAND RAPIDS, MI 49546-4338
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
07/11/2013
Last updated
07/11/2013
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