Organization
REHABILITATION RESTORATION RELAZATION STATION INC.
Active
Other names
R3 Station
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULA LYNETTE HAWKINS BSOTR (OCCUPATIONAL THERAPIST)
(616) 475-7830
Entity
Organization
Contact information
Practice address
1152 BURTON ST SE, GRAND RAPIDS, MI 49507-3359
(616) 475-7830
Mailing address
1152 BURTON ST SE, GRAND RAPIDS, MI 49507-3359
(616) 475-7830
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932281565
NPI
MI
Enumeration date
11/30/2006
Last updated
05/30/2023
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