NPI 1639687213

Eastern Grouphome

Organisation PACE Provider Organization Grand Rapids, MI

Practice location

Address: 5770 Eastern Ave SE, Grand Rapids, MI 49508-6281
Phone: (616) 516-3888

Authorised official

Name: Amanuel Asfaha
Title: Owener
Phone: (616) 516-3888

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X

Other Program of All-Inclusive Care for the Elderly (PACE) Provider Organization providers in Michigan →

Registry record

NPI: 1639687213
Entity type: Organization
NPI issued: 17 Jan 2018
Record last updated: 17 Jan 2018

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.