Organization
GRAGEVI AFC HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEIDI GRAGEVI (ADULT FOSTER CARE PROVIDER)
(616) 257-6956
Entity
Organization
Contact information
Practice address
5408 MILLS RIDGE DR SW, GRANDVILLE, MI 49418-8390
(616) 257-6956
Mailing address
5408 MILLS RIDGE DR SW, GRANDVILLE, MI 49418-8390
(616) 257-6956
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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