Organization
NIGHTINGALE HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNADETTE MARIANNE KEEGSTRA RN (OWNER)
(616) 308-7959
Entity
Organization
Contact information
Practice address
2300 MAGUIRE AVE NE, GRAND RAPIDS, MI 49525-9604
(616) 308-7959
Mailing address
2300 MAGUIRE AVE NE, GRAND RAPIDS, MI 49525-9604
(616) 308-7959
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
314000000X
Skilled Nursing Facility
—
—
Other
Enumeration date
03/06/2023
Last updated
03/14/2023
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