Organization
WANDA'S BLESSED HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TENIKA LEWIS (CEO)
(616) 856-3922
Entity
Organization
Contact information
Practice address
99 MONROE AVE NW, GRAND RAPIDS, MI 49503-6211
(800) 866-7886
Mailing address
99 MONROE AVE NW, GRAND RAPIDS, MI 49503-6211
(800) 866-7886
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
03/20/2026
Last updated
03/20/2026
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