Organization
MITTEN HOME INFUSION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANTEL GRANT RN BSN (EXECUTIVE DIRECTOR, NURSING OPERATI)
(616) 308-2473
Entity
Organization
Contact information
Practice address
5695 GRAND RIVER DR NE, ADA, MI 49301-8662
(616) 308-2473
Mailing address
5695 GRAND RIVER DR NE, ADA, MI 49301-8662
(616) 308-2473
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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