| NPI | 1184337420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEONA LASHEL FOUNTAIN Owner 616-548-6619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Additional Taxonomies | 174200000X |
| 177F00000X Lodging | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2023-01-02 |
| Last Update Date | 2023-01-02 |