Organization
CLARK RETIREMENT COMMUNITY INC.
Active
Other names
Clark at Home Personal Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STEPHANIE LYNN HOTZ (ACCOUNTS RECEIVABLE COORDINATOR)
(616) 452-1568
Entity
Organization
Contact information
Practice address
1551 FRANKLIN ST SE, GRAND RAPIDS, MI 49506-8203
(616) 452-1568
(616) 452-0428
Mailing address
1551 FRANKLIN ST SE, GRAND RAPIDS, MI 49506-8203
(616) 452-1568
(616) 452-0428
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/04/2008
Last updated
05/14/2009
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