Organization
ALPHA LIFE, LLC
Active
Other names
Premier Professional Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY BARAGAR (VICE PRESIDENT)
(616) 499-2050
Entity
Organization
Contact information
Practice address
3351 CLAYSTONE ST SE, SUITE 102, GRAND RAPIDS, MI 49546-5794
(616) 499-2050
(616) 499-2070
Mailing address
3351 CLAYSTONE ST SE, SUITE 102, GRAND RAPIDS, MI 49546-5794
(616) 499-2050
(616) 499-2070
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/16/2015
Last updated
02/16/2015
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