Organization · Type 2 NPI

A North Side Home Care Experience

Home Health Registered Nurse · Grand Rapids, MI

NPI number 1790608057 Active

Practice location

831 Dorchester Ave SW
Grand Rapids, MI 49503-4803

Mailing address

PO Box, 33
Comstock Park, MI 49321

Specialties and licenses

TaxonomyCodeLicense
Home Health Registered Nurse Primary 163WH0200XNone listed

Home Health Registered Nurse: Definition to come...

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About NPI 1790608057

A North Side Home Care Experience's National Provider Identifier is 1790608057, issued on Aug 3, 2026. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Grand Rapids, MI. The record was last updated on Aug 3, 2026.