Organization
PORTER HILLS PRESBYTERIAN VILLAGE, INC.
Active
Other names
Marywood Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA MCMICHAEL (NURSING HOME ADMINISTRATOR)
(616) 490-2942
Entity
Organization
Contact information
Practice address
111 LAKESIDE DR NE, GRAND RAPIDS, MI 49503-3811
(616) 456-1993
(616) 454-6105
Mailing address
4450 CASCADE RD SE, STE 200, GRAND RAPIDS, MI 49546-8330
(616) 949-4975
(616) 954-1795
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/27/2013
Last updated
04/02/2013
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