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SPECTRUM HEALTH WORTH SERVICES NPI 1164734364


NPI Information

NPI: 1164734364
Provider Name: SPECTRUM HEALTH WORTH SERVICES

Doing Business As: SPECTRUM HEALTH NEURO REHAB SERVICES-RESIDENTIAL

Classification: Residential Treatment Facility, Physical Disabilities - 320700000X
Entity Type: Organization
Address:
4130 KALAMAZOO AVE SE
MAIL CODE 017
GRAND RAPIDS, MI
ZIP 49508
Phone: (616) 455-7300
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SPECTRUM HEALTH WORTH SERVICES is a residential treatment facility physical disabilities in Grand Rapids, MI. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. SPECTRUM HEALTH WORTH SERVICES NPI is 1164734364. The provider is registered as an organization entity type.
The provider Is Doing Business As Spectrum Health Neuro Rehab Services-residential.

The provider's business location address is:

4130 KALAMAZOO AVE SE
MAIL CODE 017
GRAND RAPIDS, MI
ZIP 49508-605
Phone: (616) 455-7300

The provider's authorized official is Lawrence J Oberst .
The authorized official title is Shcc/director Of Finance and has the following contact phone number (616) 486-2405.

The enumeration date for this NPI number is 7/6/2010 and was last updated on 7/6/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320700000XResidential Treatment Facility, Physical DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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