Whalio Doctors

NPI 1356654503

New Beginnings

Organisation Early Intervention Provider Agency Grand Rapids, MI

Practice location

Address
1119 Burton St SE, Grand Rapids, MI 49507-3367
Phone
(616) 632-4407
Mailing address
4490 Springmont Dr SE, Kentwood, MI 49512-5372

Authorised official

Name
Melanie Nicole Davis
Title
Care Coordinator
Phone
(616) 632-4407

Registered specialties

Early Intervention Provider Agency Primary
Agencies Taxonomy 252Y00000X Licence 6802086484 (MI)

Registry record

NPI
1356654503
Entity type
Organization
NPI issued
16 Jul 2010
Record last updated
3 Aug 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.