Individual
MRS. SHARON KAY COYKENDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2161 LEONARD ST NW, GRAND RAPIDS, MI 49504-3829
(616) 453-7715
Mailing address
2757 RICHMOND ST NW, GRAND RAPIDS, MI 49504-2332
(616) 453-1774
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
L1129555
MI
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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