Organization
ST ANN'S HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN FARHAT-HENDRICKS OTR (OCCUPATIONAL THERAPIST REGISTERED)
(616) 735-1513
Entity
Organization
Contact information
Practice address
2161 LEONARD NW, GRAND RAPIDS, MI 49504
(616) 453-7715
(616) 735-0633
Mailing address
3683 MAPLEBROOK DR NW, GRAND RAPIDS, MI 49534-2709
(616) 735-1513
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5201006651
MI
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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