Organization
HOPE NETWORK REHAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP HERNANDEZ (RECREATION AIDE)
(616) 940-0040
Entity
Organization
Contact information
Practice address
1490 EAST BELTLINE, GRAND RAPIDS, MI 49506
(616) 940-0440
Mailing address
1490 E BELTLINE AVE SE, GRAND RAPIDS, MI 49506-4336
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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