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Organization

EVERBLOOM HOME LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE WILLIAMS (MEMBER)
(574) 276-8612
Entity
Organization

Contact information

Practice address
144 BROWNELL ST SE, GRAND RAPIDS, MI 49548-7702
(574) 276-8612
Mailing address
PO BOX 1, OSHTEMO, MI 49077-0001

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary

Other

Enumeration date
02/02/2026
Last updated
02/02/2026
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