Organization
MIKE'S WAY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDAL L BENNETT (CFO)
(616) 929-3677
Entity
Organization
Contact information
Practice address
1552 ROBINSON RD SE, GRAND RAPIDS, MI 49506-1748
(616) 608-4078
(616) 608-6832
Mailing address
9371 WESTVIEW DR SE, BYRON CENTER, MI 49315-9324
(616) 877-4131
(616) 877-4231
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AS410392756
MI
311ZA0620X
Adult Care Home Facility
AS410392757
MI
311ZA0620X
Adult Care Home Facility
AS410392759
MI
311ZA0620X
Adult Care Home Facility
AS410392760
MI
Other
Enumeration date
03/02/2018
Last updated
03/17/2018
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