NPI 1205229853

Hope Network

Organisation Point of Service Grand Rapids, MI

Practice location

Address: 755 36th St. SE, Grand Rapids, MI 49501
Phone: (616) 248-5151
Fax: (616) 243-2302
Mailing address: PO Box 141, Grand Rapids, MI 49501-0141

Authorised official

Name: Jamie Marie Kupris
Title: Supports Coordinator
Phone: (616) 248-5151

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence K162366585192 (MI)

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Registry record

NPI: 1205229853
Entity type: Organization
NPI issued: 6 Mar 2015
Record last updated: 6 Mar 2015

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.