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1568866754
FOUNTAIN HILL CENTER -- LAKESHORE OFFICE
GRAND RAPIDS, MI
NPI
1568866754
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Entity Type
Organization
Authorized Contact
AMY VAN GUNST
Executive Coordinator
616-456-1178
Organization Subpart ?
Yes
Primary Taxonomy
251S00000X
Enumeration Date
2014-10-16
Last Update Date
2014-10-16
Business Address
FOUNTAIN HILL CENTER -- LAKESHORE OFFICE
534 FOUNTAIN ST NE
GRAND RAPIDS, MI 49503-3422
Phone number: 616-456-1178
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Mailing Address
FOUNTAIN HILL CENTER -- LAKESHORE OFFICE
PO BOX 32
NEW ERA, MI 49446-0032
Phone number: 616-456-1178
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