Organization
CHRISTIAN REST HOME ASSOCIATION
Active
Parent organization
CHRISTIAN REST HOME ASSOCIATION
Other names
EDISON ASSISTED LIVING CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHRISTIAN REST HOME ASSOCIATION
Authorized official
JAMES HORJUS (ADMINISTRATOR)
(616) 453-0581
Entity
Organization
Contact information
Practice address
1010 EDISON AVE NW, GRAND RAPIDS, MI 49504-3918
(616) 453-0581
(616) 791-0910
Mailing address
1010 EDISON AVE NW, GRAND RAPIDS, MI 49504-3918
(616) 453-0581
(616) 791-0910
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AH410236778
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AH410236778
MICHIGAN DEPARTMENT OF HUMAN SERVICES
MI
Enumeration date
01/27/2012
Last updated
01/27/2012
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