Organization
VILLA MARIA RETIREMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS MEADE (EXECUTIVE DIRECTOR)
(616) 459-9701
Entity
Organization
Contact information
Practice address
1305 WALKER AVE NW, GRAND RAPIDS, MI 49504-4098
(616) 459-9701
(616) 776-8402
Mailing address
1305 WALKER AVE NW, GRAND RAPIDS, MI 49504-4098
(616) 459-9701
(616) 776-8402
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
09/09/2013
Last updated
09/09/2013
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