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Organization

CARE RESOURCES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. THOMAS MUSZYNSKI RN, BSN, CCM (COO)
(616) 913-2114
Entity
Organization

Contact information

Practice address
4150 KALAMAZOO AVE SE, GRAND RAPIDS, MI 49508-3605
(616) 913-2006
Mailing address
1471 GRACE STREET SE, GRAND RAPIDS, MI 49506-1678
(616) 913-2006

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
4735835
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4735835
MI
Enumeration date
01/10/2007
Last updated
08/29/2023
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