Organization
SALVATION ARMY
Active
Organization
SALVATION ARMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHAEL B BOAFO (LPN)
(616) 481-9414
Entity
Organization
Contact information
Practice address
72 SHELDON AVE SE, GRAND RAPIDS, MI 49503-4234
(616) 742-0351
Mailing address
72 SHELDON AVE SE, GRAND RAPIDS, MI 49503-4234
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up