| NPI | 1740433846 |
|---|---|
| Former Legal Business Name | GRAND RAPIDS CENTER FOR INDEPENDENT LIVING |
| Entity Type | Organization |
| Authorized Contact | DAVID BULKOWSKI Executive Director 616-949-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2008-11-03 |