Eastern Grouphome
Eastern Grouphome is a PACE Provider Organization in Grand Rapids, Michigan. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
5770 Eastern Ave SEGrand Rapids, MI 49508-6281
Phone: (616) 516-3888
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| PACE Provider Organization (primary) | Taxonomy 251T00000X |
|---|
Record details
| NPI number | 1639687213 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Amanuel Asfaha — Owener · (616) 516-3888 |
| NPI enumerated | January 17, 2018 |
| Last updated in NPPES | January 17, 2018 |
| Mailing address | 5770 Eastern Ave Se, Grand Rapids, MI 49508-6281 |