NPI | 1386248052 |
---|---|
Doing Business As | LIFECARE AT HOME |
Entity Type | Organization |
Authorized Contact | ISAAC J LEESTMA Administrator 616-821-3485 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2020-11-24 |
Last Update Date | 2020-11-24 |