Individual provider · Type 1 NPI

Jacquelyn Williams

Adult Care Home Facility · Kentwood, MI

NPI number 1245779115 Active

Practice location

2841 32nd St SE
Kentwood, MI 49512-1755

Call (616) 885-6466 Map

Fax (616) 272-4591

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XAS410384414 (MI)

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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About NPI 1245779115

Jacquelyn Williams's National Provider Identifier is 1245779115, issued on Feb 13, 2017. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Kentwood, MI. The record was last updated on Feb 13, 2017.