NPI 1568897684

Villa Maria Retirement

Organisation Preferred Provider Organization Grand Rapids, MI

Practice location

Address: 1305 Walker Ave NW, Grand Rapids, MI 49504-4098
Phone: (616) 459-9701
Fax: (616) 776-8402

Authorised official

Name: Dennis Meade
Title: Executive Director
Phone: (616) 459-9701

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1568897684
Entity type: Organization
NPI issued: 9 Sep 2013
Record last updated: 9 Sep 2013

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.