| NPI | 1316268154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS SCOTT MERRITT Physician/Owner 616-656-3199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: MI 4301069990) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: MI 4301069990) |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MI 4301069990) | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MI 4301069990) | |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2010-06-16 |