Organization · Type 2 NPI
Covenant Enabling Residences of Michigan
Adult Care Home Facility · Grand Rapids, MI
NPI number
1700314564
Active
Practice location
340 Thornridge Ct NW
Grand Rapids, MI 49504-5887
Mailing address
862 Forest Park Rd
Norton Shores, MI 49441-4631
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
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 1700314564
Covenant Enabling Residences of Michigan's National Provider Identifier is 1700314564, issued on May 24, 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 Jan 29, 2024.