Organization
LIFES CHOICE LLC
Active
Other names
Lifes Choice Adult Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTON S CAWLEY (MANAGER)
(616) 368-8157
Entity
Organization
Contact information
Practice address
2930 HAMPSHIRE BLVD SE, GRAND RAPIDS, MI 49506-5024
(616) 368-8157
Mailing address
2930 HAMPSHIRE BLVD SE, GRAND RAPIDS, MI 49506-5024
(616) 368-8157
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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