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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