Individual
CALLIE L GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 IONIA AVE SW APT 224, APT.224, GRAND RAPIDS, MI 49503-3118
(616) 401-0951
Mailing address
4218 BURTON ST SE, GRAND RAPIDS, MI 49546-6121
(616) 401-0951
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
MI
Other
Enumeration date
02/04/2026
Last updated
02/04/2026
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