Organization · Type 2 NPI

Bethlehem Lutheran Church

Adult Day Care Clinic/Center · Grand Rapids, MI

NPI number 1467953992 Active

Practice location

250 Commerce Ave SW
Grand Rapids, MI 49503

Fax (616) 456-1759

Specialties and licenses

Taxonomy	Code	License
Adult Day Care Clinic/Center Primary	261QA0600X	None listed

Adult Day Care Clinic/Center: Definition to come...

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NPI record

NPI: 1467953992
Entity type: Organization (Type 2)
Issued: Feb 21, 2018
Last updated: Feb 21, 2018
Status: Active
Subpart: Yes of Bethlehem Lutheran Church

Other names

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Bethlehem Intergenerational Center · doing business as

Authorized official

Susan Marie Schuelke-Davidson
Director
(616) 456-7509

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About NPI 1467953992

Bethlehem Lutheran Church's National Provider Identifier is 1467953992, issued on Feb 21, 2018. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Grand Rapids, MI. The record was last updated on Feb 21, 2018.