| NPI | 1477372571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDEMAGEN THEODORE BENNETT Administrator And Owner 616-644-8235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 251T00000X PACE Provider Organization | |
| 253Z00000X In Home Supportive Care | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2024-10-07 |
| Last Update Date | 2025-01-27 |