NPI 1275980005

Hope Network Corporate

Organisation Physical Disabilities Residential Treatment Facility Grand Rapids, MI

Practice location

Address: 3075 Orchard Vista Dr SE, Grand Rapids, MI 49546-7069
Phone: (616) 248-5291

Authorised official

Name: Gayle Polverelli
Title: Employee Healthcare Contact
Phone: (616) 248-5291

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence 320700000X (MI)

Other Residential Treatment Facility, Physical Disabilities providers in Michigan →

Registry record

NPI: 1275980005
Entity type: Organization
NPI issued: 23 May 2016
Record last updated: 23 May 2016

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.