Organization
CASCADE CARE CENTER, INC
Active
Other names
Metron of Forest Hills
Organization subpart
No
Provider details
NPI number
Authorized official
MR. J LINDSEY DOOD (EXECUTIVE VICE PRESIDENT / CFO)
(616) 975-5287
Entity
Organization
Contact information
Practice address
1095 MEDICAL PARK DR SE, GRAND RAPIDS, MI 49546-3607
(616) 949-7220
(616) 956-6947
Mailing address
4630 PLAINFIELD AVENUE NE, SUITE 100, GRAND RAPIDS, MI 49525
(616) 957-3957
(616) 957-1556
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
414330
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2086096
—
MI
01
—
9828
BLUE CROSS
—
Enumeration date
08/12/2006
Last updated
12/10/2008
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