| NPI | 1508114554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL AARON CROMWELL Rehab Assistance 616-940-0040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2012-08-23 |
| Last Update Date | 2012-08-23 |