NPI 1376482281
Age Management, LLC
Practice location
- Address
- 4550 Plainfield Ave NE, Grand Rapids, MI 49525-1642
- Phone
- (616) 381-4001
Authorised official
- Name
- Autumn M Wilson
- Title
- Administrator
- Phone
- (260) 609-8792
Registered specialties (2)
Early Intervention Provider Agency
Primary
Community/Behavioral Health Agency
Registry record
- NPI
- 1376482281
- Entity type
- Organization
- NPI issued
- 26 Mar 2026
- Record last updated
- 8 Apr 2026
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.