Organization · Type 2 NPI

Jerry's Dream Adult Homes

Adult Care Home Facility · Grand Rapids, MI

NPI number 1689102931 Active

Practice location

1124 W Leonard Ct NW
Grand Rapids, MI 49534-6835

Mailing address

PO Box 1086
Grand Rapids, MI 49501-1086

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XAS410269764 (MI)
Adult Care Home Facility 311ZA0620XAS410269763 (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 1689102931

Jerry's Dream Adult Homes's National Provider Identifier is 1689102931, issued on May 31, 2017. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Grand Rapids, MI. The record was last updated on May 31, 2017.