| NPI | 1467873471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN BULTMAN Owner/Director 616-240-3023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2013-12-28 |