Organization
KENT RESIDENTIAL CENTERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS E FERCH (CEO)
(616) 774-0853
Entity
Organization
Contact information
Practice address
1225 LAKE DR SE, GRAND RAPIDS, MI 49506-1656
(616) 774-0853
(616) 774-0328
Mailing address
1225 LAKE DR SE, GRAND RAPIDS, MI 49506-1656
(616) 774-0853
(616) 774-0328
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4483587
—
MI
Enumeration date
10/31/2007
Last updated
10/31/2007
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