Organization
KINGDOM REST CENTER LLC
Active
Other names
Kingdom Rest Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN V FORKPAH LICENSEE (LICENSEE/ CEO)
(616) 323-4379
Entity
Organization
Contact information
Practice address
5252 KIMBALL AVE SE, KENTWOOD, MI 49508-6147
(616) 323-4379
(616) 570-0944
Mailing address
5252 KIMBALL AVE SE, KENTWOOD, MI 49508-6147
(616) 323-4379
(616) 570-0944
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
05/29/2026
Last updated
05/29/2026
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