JACK DURRELL DANIELS

GRAND RAPIDS, MI
NPI1457215535
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2025-12-12
Last Update Date2025-12-12
Business Address
JACK DURRELL DANIELS
1115 BALL AVE NE
GRAND RAPIDS, MI 49505-5904
Phone number: 616-456-6571
Mailing Address
JACK DURRELL DANIELS
1115 BALL AVE NE
GRAND RAPIDS, MI 49505-5904
Phone number: 616-456-6571
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