Organization
HOPE NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAMIE MARIE KUPRIS LBSW, QIDP (SUPPORTS COORDINATOR)
(616) 248-5151
Entity
Organization
Contact information
Practice address
755 36TH ST. SE, GRAND RAPIDS, MI 49501
(616) 248-5151
(616) 243-2302
Mailing address
PO BOX 141, GRAND RAPIDS, MI 49501-0141
(616) 248-5151
(616) 243-2302
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
K162366585192
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03131969
—
MI
Enumeration date
03/06/2015
Last updated
03/06/2015
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