Organization
CLAY STREET CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SALLY JANE FOX BOLEK RN (PROGRAM DIRECTOR)
(616) 835-9080
Entity
Organization
Contact information
Practice address
913 S. CLAY ST., GREENVILLE, MI 48838
(616) 835-9080
Mailing address
913 S. CLAY ST., GREENVILLE, MI 48838
(616) 835-9080
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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