Organization
FULL CIRCLE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA VANDERWEELE (PROGRAM MANAGER)
(616) 540-6649
Entity
Organization
Contact information
Practice address
5040 CASCADE RD SE, GRAND RAPIDS, MI 49546-3725
(616) 447-1980
Mailing address
5040 CASCADE RD SE, GRAND RAPIDS, MI 49546-3725
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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