Organization
SILVER SPARROW AFC HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA JO ALEXANDER (SOLE PROPRIETOR AND AFC PROVIDER)
(616) 881-5898
Entity
Organization
Contact information
Practice address
1316 ELLIOTT ST SE, GRAND RAPIDS, MI 49507-2851
(616) 881-5898
Mailing address
1316 ELLIOTT ST SE, GRAND RAPIDS, MI 49507-2851
(616) 881-5898
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AF410287362
MI
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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