Organization
RANDY'S HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL EUGENE HELMER (EXECUTIVE DIRECTOR)
(616) 498-4608
Entity
Organization
Contact information
Practice address
203 E WASHINGTON ST, GREENVILLE, MI 48838-1944
(616) 232-2915
(616) 835-9101
Mailing address
203 E WASHINGTON ST, GREENVILLE, MI 48838-1944
(616) 232-2915
(616) 835-9101
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
SO410408
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SO410408
SUD PREVENTION
MI
Enumeration date
03/17/2017
Last updated
03/17/2017
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