Organization
AMEDISYS MICHIGAN LLC
Active
Other names
Amedisys Home Health of Grand Rapids
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM BORNE (CEO)
(225) 292-2031
Entity
Organization
Contact information
Practice address
911 DIVISION AVE N, SUITE A, GRAND RAPIDS, MI 49503-1074
(616) 459-0179
(616) 459-0252
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 292-2031
(225) 295-9678
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699912253
—
MI
Enumeration date
01/19/2009
Last updated
03/17/2011
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