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Annelise Elizabeth Medina
Attendant Care Provider in Grand Rapids, Michigan
NPI 1184193617

Annelise Elizabeth Medina is an Attendant Care Provider based in Wayland, MI and is specialized in Attendant Care Provider. Annelise Elizabeth Medina practices in Grand Rapids, MI. The NPI Number for Annelise Elizabeth Medina is 1184193617 and holds a License No. (Michigan).

The current practice location address for Annelise Elizabeth Medina is 1490 E Beltline Ave Se, Grand Rapids, MI and can be reached out via phone at 616-940-0040.

Location: 1490 E Beltline Ave Se, Grand Rapids, MI, 49348-9786
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184193617
Provider Name
Annelise Elizabeth Medina
Credential
Provider Entity Type
Individual
Gender
Female
Address
1490 E Beltline Ave Se, Grand Rapids, MI, 49348-9786
Phone Number
616-940-0040
Fax Number
Provider Enumeration Date
11/14/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1490 E Beltline Ave Se
City
Grand Rapids
State
Michigan
Zip
49506-4336
Phone Number
616-940-0040
Fax Number
person
Provider Business Mailing Address Details
Address
1490 E Beltline Ave Se
City
Grand Rapids
State
Michigan
Zip
49506-4336
Phone Number
616-940-0040
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
3747A0650X
License No.
()
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
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