Organization
EASTERN GROUPHOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANUEL ASFAHA (OWENER)
(616) 516-3888
Entity
Organization
Contact information
Practice address
5770 EASTERN AVE SE, GRAND RAPIDS, MI 49508-6281
(616) 516-3888
Mailing address
5770 EASTERN AVE SE, GRAND RAPIDS, MI 49508-6281
(616) 516-3888
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
01/17/2018
Last updated
01/17/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us