Organization
A NORTH SIDE HOME CARE EXPERIENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE TAYLOR (OWNER)
(616) 334-1148
Entity
Organization
Contact information
Practice address
831 DORCHESTER AVE SW, GRAND RAPIDS, MI 49503-4803
(616) 334-1148
Mailing address
831 DORCHESTER AVE SW, GRAND RAPIDS, MI 49503-4803
(616) 334-1148
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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