Organization
MARY FREE BED SUB-ACUTE REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA LATOVICK (VP REIMBURSEMENT)
(734) 343-6628
Entity
Organization
Contact information
Practice address
235 WEALTHY ST SE, 5TH FLOOR, GRAND RAPIDS, MI 49503-5247
(616) 840-8330
Mailing address
235 WEALTHY ST SE, 5TH FLOOR, GRAND RAPIDS, MI 49503-5247
(616) 840-8330
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/24/2015
Last updated
02/27/2025
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