| NPI | 1124650130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWEN SANDEFUR President 616-486-0816 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2020-02-07 |