Organization
KARSEN HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE MICHELLE KARSEN (OWNER)
(616) 745-2396
Entity
Organization
Contact information
Practice address
386 FOREST HILL AVE SE, GRAND RAPIDS, MI 49546-2316
(616) 745-2396
Mailing address
386 FOREST HILL AVE SE, GRAND RAPIDS, MI 49546-2316
(616) 745-2396
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
311ZA0620X
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
92053140
—
MI
Enumeration date
02/24/2017
Last updated
02/24/2017
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