Organization
HOPE NETWORK CORPORATE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAYLE POLVERELLI (EMPLOYEE HEALTHCARE CONTACT)
(616) 248-5291
Entity
Organization
Contact information
Practice address
3075 ORCHARD VISTA DR SE, GRAND RAPIDS, MI 49546-7069
(616) 248-5291
Mailing address
3075 ORCHARD VISTA DR SE, GRAND RAPIDS, MI 49546-7069
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
320700000X
MI
Other
Enumeration date
05/23/2016
Last updated
05/23/2016
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