Organization
LIVING WELL RECREATION THERAPY
Active
Other names
Miranda Ward, Sole Propreiter
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA M WARD (CERTIFIED RECREATIONAL THERAPIST)
(616) 710-1166
Entity
Organization
Contact information
Practice address
1351 SHERMAN ST SE, GRAND RAPIDS, MI 49506-2613
(616) 710-1166
Mailing address
1351 SHERMAN ST SE, GRAND RAPIDS, MI 49506-2613
(616) 710-1166
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
62081
MI
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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