Organization
AGE MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUTUMN M WILSON (ADMINISTRATOR)
(260) 609-8792
Entity
Organization
Contact information
Practice address
4550 PLAINFIELD AVE NE, GRAND RAPIDS, MI 49525-1642
(616) 381-4001
Mailing address
4550 PLAINFIELD AVE NE, GRAND RAPIDS, MI 49525-1642
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/26/2026
Last updated
04/08/2026
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