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The Boutique At Mercy Health Lacks Cancer Center
Durable Medical Equipment & Medical Supplies in Grand Rapids, Michigan
NPI 1023274446

The Boutique At Mercy Health Lacks Cancer Center is a Durable Medical Equipment & Medical Supplies based in Grand Rapids, MI. The Boutique At Mercy Health Lacks Cancer Center practices in Grand Rapids, MI. The NPI Number for The Boutique At Mercy Health Lacks Cancer Center is 1023274446 and holds a License No. (Michigan).

The current practice location address for The Boutique At Mercy Health Lacks Cancer Center is 200 Jefferson Ave Se, Grand Rapids, MI and can be reached out via phone at 616-685-5030.

Location: 200 Jefferson Ave Se, Grand Rapids, MI, 49503-4502
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023274446
Provider Name
The Boutique At Mercy Health Lacks Cancer Center
Credential
Provider Entity Type
Organization
Address
200 Jefferson Ave Se, Grand Rapids, MI, 49503-4502
Phone Number
616-685-5030
Fax Number
Provider Enumeration Date
08/05/2008
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
200 Jefferson Ave Se
City
Grand Rapids
State
Michigan
Zip
49503-4502
Phone Number
616-685-5030
Fax Number
person
Provider Business Mailing Address Details
Address
200 Jefferson Ave Se
City
Grand Rapids
State
Michigan
Zip
49503-4502
Phone Number
616-685-5030
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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