Organization · NPI-2
A Grand Rapids Senior Social Exchange And Adult Day Center
Social Worker, Clinical · Grand Rapids, MI
NPI number1881102788
StatusActive
Last updated in NPPESJul 2, 2018
Details
- NPI
- 1881102788
- Entity type
- Organization (NPI-2)
- Legal business name
- A Grand Rapids Senior Social Exchange And Adult Day Center
- Organization subpart
- No
- Enumeration date
- Jan 14, 2018
- Last updated
- Jul 2, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
| 253Z00000X | In Home Supportive Care | – | – | |
| 385H00000X | Respite Care | – | – |
Practice location
3212 Eastern Ave SeGrand Rapids, MI 49508
Phone 616-329-4101
Mailing address
Po Box 7004Grand Rapids, MI 49510-7004
Phone 616-329-4101
Authorized official
Jodie Lynn Robertson
Owner
6163294101
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