Organization
HEARTY HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOUNG EDEM EYAMBA (ADMINISTRATOR)
(616) 710-6389
Entity
Organization
Contact information
Practice address
330 DIAMOND AVE NE, GRAND RAPIDS, MI 49503-3625
(616) 259-8855
(616) 259-8855
Mailing address
330 DIAMOND AVE NE, GRAND RAPIDS, MI 49503-3625
(616) 259-8855
(616) 259-8855
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AS410360436
MI
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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