| NPI | 1154694750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE BUECHE Administrator 616-302-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501013000) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MI 4704176032) |
| 163WH0200X Registered Nurse, Home Health (Licence: MI 4704172952) | |
| 207Q00000X Family Medicine (Licence: MI 5101008296) | |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2012-02-14 |