Porter Hills Presbyterian Village, Inc.

NPI 1245572346 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1245572346
Enumeration Date 03/27/2013
Last Updated 04/02/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name LISA LISA
Position NURSING HOME ADMINISTRATOR
Phone (616) 456-1993
Fax (616) 454-6105
Practice Location
111 LAKESIDE DR NE
GRAND RAPIDS MI, 49503-3811, US
Phone (616) 456-1993
Fax (616) 454-6105
Business Location
4450 CASCADE RD SE
STE 200
GRAND RAPIDS MI, 49546-8330, US
Phone (616) 949-4975
Fax (616) 954-1795
Toxanomy
Taxonomy Code 314000000X
License State
License Number
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According to our database, Porter Hills Presbyterian Village, Inc. NPI is 1245572346, taxonomy code is 314000000X Porter Hills Presbyterian Village, Inc. physically located at 111 Lakeside Dr Ne, Grand Rapids MI, 49503-3811. NPI Number 1033115704 has the healthcare provider type.

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1245572346 NPI number is provided on an as is basis without warranty of any kind. 1245572346 is maintained by the National Plan & Provider Enumeration System. The contents of Porter Hills Presbyterian Village, Inc. are for informational purposes only.