| NPI | 1114385531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY BOS Pharmacist 616-261-4170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251F00000X Home Infusion (Licence: CA 43202) |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based (Licence: CA 43202) |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2016-01-29 |