Organization
NOORS HEAVEN OF WEST MICHIGAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAFA HADDAD (OWNER/ CHIEF OPERATING OFFICER (COO)
(616) 589-1625
Entity
Organization
Contact information
Practice address
2723 SARNIA ST SW, WYOMING, MI 49519-6308
(616) 589-1625
Mailing address
2723 SARNIA ST SW, WYOMING, MI 49519-6308
(616) 589-1625
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
172V00000X
Community Health Worker
Primary
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
332U00000X
Home Delivered Meals
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CV0018047
CASE MANAGER
—
05
—
CV0018047
—
MI
Enumeration date
03/04/2019
Last updated
03/06/2019
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