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Organization

ABILITIIES OF WESTERN MICHIGAN

Active
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Organization

ABILITIIES OF WESTERN MICHIGAN

Active
Other names
Ability of Western, Ability of Michigan
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. VICTORIA A RUSSELL ETC (ADMINISTRATION)
(616) 340-9026
Entity
Organization

Contact information

Practice address
4488 BRETON RD SE, KENTWOOD, MI 49508-5270
(616) 340-9026
Mailing address
2529 BRIDGEPORT LN SE, KENTWOOD, MI 49508-8431
(616) 340-9026

Taxonomy

Speciality
Code
Description
License number
State
174200000X
Meals Provider
251K00000X
Public Health or Welfare Agency
251S00000X
Community/Behavioral Health Agency
261Q00000X
Clinic/Center
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Enumeration date
11/01/2022
Last updated
11/01/2022
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