NPI 1033774054

Spectrum Health Primary Care Partners

Organisation Assisted Living Facility Jenison, MI

Practice location

Address: 1725 Port Sheldon St, Jenison, MI 49428-9002
Phone: (616) 267-7668
Fax: (616) 667-1722
Mailing address: 100 Michigan St NE # Mc845, Grand Rapids, MI 49503-2560

Authorised official

Name: Leslie Flake
Title: Svp Finance
Phone: (616) 486-6545

Registered specialties (3)

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

Other Assisted Living Facility providers in Michigan →

Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X

Other Internal Medicine providers in Michigan →

Geriatric Medicine (Internal Medicine) Physician

Allopathic & Osteopathic Physicians Taxonomy 207RG0300X

Registry record

NPI: 1033774054
Entity type: Organization
NPI issued: 6 May 2019
Record last updated: 30 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.