NPI 1518408681

44th Home Care LLC

Organisation Adult Care Home Facility Kentwood, MI

Practice location

Address: 2720 44th St SE, Kentwood, MI 49512-3805
Phone: (616) 455-6789
Mailing address: 6376 Glenstone Dr SE, Grand Rapids, MI 49546-9155

Authorised official

Name: Annaliza Tennant
Title: President
Phone: (616) 438-4783

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

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Registry record

NPI: 1518408681
Entity type: Organization
NPI issued: 9 Mar 2017
Record last updated: 9 Mar 2017

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.