Organization
44TH HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNALIZA TENNANT (PRESIDENT)
(616) 438-4783
Entity
Organization
Contact information
Practice address
2720 44TH ST SE, KENTWOOD, MI 49512-3805
(616) 455-6789
Mailing address
6376 GLENSTONE DR SE, GRAND RAPIDS, MI 49546-9155
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
MI
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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