Organization
COGNITIVE AND THERAPEUTIC COMPREHENSIVE HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY ROLAND FRAIN (CEO)
(616) 719-9992
Entity
Organization
Contact information
Practice address
800 MONROE AVE NW, SUITE 102, GRAND RAPIDS, MI 49503-1445
(616) 421-4800
(616) 499-7083
Mailing address
800 MONROE AVE NW, SUITE 102, GRAND RAPIDS, MI 49503-1445
(616) 421-4800
(616) 499-7083
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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