Whalio Doctors

NPI 1790055788

Bethany Christian Services USA, LLC

Organisation Foster Care Agency Grand Rapids, MI

Practice location

Address
1050 36th St SE 400, Grand Rapids, MI 49508-5580
Phone
(616) 965-8096
Fax
(616) 254-7750

Authorised official

Name
Brian J Devos
Title
Michigan Director of Operation
Phone
(616) 254-7717

Registered specialties

Foster Care Agency Primary
Agencies Taxonomy 253J00000X

Registry record

NPI
1790055788
Entity type
Organization
NPI issued
6 Jan 2012
Record last updated
6 Jan 2012

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.