Organization
REST HAVEN HOMES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY RUTH CARRICK NHA (ADMINISTRATOR OF FINANCE)
(616) 363-6819
Entity
Organization
Contact information
Practice address
1424 UNION AVE NE, GRAND RAPIDS, MI 49505-5197
(616) 363-6819
(616) 363-1658
Mailing address
1424 UNION NE, GRAND RAPIDS, MI 49505-5197
(616) 363-6819
(616) 363-1658
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AH410236876
MI
313M00000X
Nursing Facility/Intermediate Care Facility
1070000412
MI
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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