Organization
A GRAND RAPIDS SENIOR SOCIAL EXCHANGE AND ADULT DAY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JODIE LYNN ROBERTSON NA (OWNER)
(616) 329-4101
Entity
Organization
Contact information
Practice address
3212 EASTERN AVE SE, GRAND RAPIDS, MI 49508
(616) 329-4101
Mailing address
PO BOX 7004, GRAND RAPIDS, MI 49510-7004
(616) 329-4101
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/14/2018
Last updated
07/02/2018
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