Organization
MARY FREE BED REHABILTATION HOSPITAL
Active
Other names
Mary Free Bed Rehabilitation Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN PODVIN (CFO)
(616) 840-8877
Entity
Organization
Contact information
Practice address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
(616) 242-0403
(616) 242-9113
Mailing address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
(616) 242-0403
(616) 242-9113
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
04/10/2008
Last updated
04/15/2021
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