Organization
733 PRINCE LLC
Active
Other names
PRINCETON AFC
Organization subpart
No
Provider details
NPI number
Authorized official
MARVA LYNN TOWNSEND (PRESIDENT)
(616) 633-8284
Entity
Organization
Contact information
Practice address
733 PRINCE ST SE, GRAND RAPIDS, MI 49507
(616) 633-8284
Mailing address
733 PRINCE ST SE, GRAND RAPIDS, MI 49507-1241
(616) 633-8284
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
AS410362376
MI
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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