Organization
TRINITY 30/60/100
Active
Other names
LIVING WELL ADULT LIVING FACILITY AFC
Organization subpart
No
Provider details
NPI number
Authorized official
MARVA LYNN TOWNSEND (ADMINISTRATOR)
(616) 633-8284
Entity
Organization
Contact information
Practice address
1001 LAFAYETTE AVE SE, GRAND RAPIDS, MI 49507-1106
(616) 649-0104
(616) 649-0126
Mailing address
1001 LAFAYETTE AVE SE, GRAND RAPIDS, MI 49507-1106
(616) 649-0104
(616) 649-0126
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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