Organization
ST. ANN'S HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JILL ADAMS SLP (SPEECH THERAPIST)
(616) 453-7715
Entity
Organization
Contact information
Practice address
2161 LEONARD ST NW, GRAND RAPIDS, MI 49504-3829
(616) 453-7715
Mailing address
4259 CROOKED TREE RD SW APT 11, WYOMING, MI 49519-5265
(517) 256-2800
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
MI
Other
Enumeration date
05/09/2008
Last updated
05/12/2008
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