Organization
SAVI-K
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SABRI BALLA (OWNER)
(616) 570-0046
Entity
Organization
Contact information
Practice address
3824 WALKER AVE NW, GRAND RAPIDS, MI 49544-9705
(616) 570-0046
(616) 570-0046
Mailing address
3824 WALKER AVE NW, GRAND RAPIDS, MI 49544-9705
(616) 570-0046
(616) 570-0046
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AF410282195
MI
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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