Organization
COMMUNITY HOME HEALTH CARE OF WEST MICHIGAN, INC
Active
Other names
LifeCare at Home
Organization subpart
No
Provider details
NPI number
Authorized official
ISAAC J LEESTMA (ADMINISTRATOR)
(616) 821-3485
Entity
Organization
Contact information
Practice address
1519 E RIVER RD STE A, MUSKEGON, MI 49445-8591
(231) 733-0030
Mailing address
1519 E RIVER RD STE A, MUSKEGON, MI 49445-8591
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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