| NPI | 1134565336 |
|---|---|
| Doing Business As | COMMUNITY ADVANCEMENT |
| Entity Type | Organization |
| Authorized Contact | LISA M LUCAS Director 616-301-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704237090) |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2015-05-04 |