Whalio Doctors

NPI 1164734364

Spectrum Health Worth Services

Organisation Physical Disabilities Residential Treatment Facility Grand Rapids, MI

Practice location

Address
4130 Kalamazoo Ave SE Mail Code 017, Grand Rapids, MI 49508-3605
Phone
(616) 455-7300
Mailing address
750 Fuller Ave NE Mail Code 133, Grand Rapids, MI 49503-1918

Authorised official

Name
Lawrence J Oberst
Title
Shcc/Director of Finance
Phone
(616) 486-2405

Registered specialties

Physical Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320700000X

Registry record

NPI
1164734364
Entity type
Organization
NPI issued
6 Jul 2010
Record last updated
6 Jul 2010

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.