LISA ANN MERVENNE

GRAND RAPIDS, MI
NPI1922296730
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy314000000X Skilled Nursing Facility
(Licence: MI  5201000452)
Enumeration Date2007-10-05
Last Update Date2007-10-05
Business Address
Mrs. LISA ANN MERVENNE O.T.R.
2520 LAKE MICHIGAN DR NW
GRAND RAPIDS, MI 49504-4696
Phone number: 616-735-6050
Mailing Address
Mrs. LISA ANN MERVENNE O.T.R.
4075 SILVERGRASS DR NE
GRAND RAPIDS, MI 49525-9552
Phone number: 616-447-0102
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