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Organization

PORTER HILLS HOME HEALTH WEST

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMY GENTHE PT (DIRECTOR OF QUALITY AND COMPLIANCE)
(616) 719-4161
Entity
Organization

Contact information

Practice address
3600 FULTON ST E, GRAND RAPIDS, MI 49546-1322
(616) 949-5140
(616) 575-5123
Mailing address
3600 FULTON ST E, GRAND RAPIDS, MI 49546-1322
(616) 949-5140
(616) 575-5123

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0E159
BLUE CROSS BLUE SHIELD
MI
05
3480544
MI
Enumeration date
01/12/2006
Last updated
10/18/2022
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