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Kent Residential Centers, Inc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Grand Rapids, Michigan
NPI 1376722868

Kent Residential Centers, Inc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Grand Rapids, MI. Kent Residential Centers, Inc practices in Grand Rapids, MI. The NPI Number for Kent Residential Centers, Inc is 1376722868 and holds a License No. (Michigan).

The current practice location address for Kent Residential Centers, Inc is 1225 Lake Dr Se, Grand Rapids, MI and can be reached out via phone at 616-774-0853 and via fax at 616-774-0328.

Location: 1225 Lake Dr Se, Grand Rapids, MI, 49506-1656
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376722868
Provider Name
Kent Residential Centers, Inc
Credential
Provider Entity Type
Organization
Address
1225 Lake Dr Se, Grand Rapids, MI, 49506-1656
Phone Number
616-774-0853
Fax Number
616-774-0328
Provider Enumeration Date
10/31/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4483587 05 MI
institution
Provider Business Practice Location Address Details
Address
1225 Lake Dr Se
City
Grand Rapids
State
Michigan
Zip
49506-1656
Phone Number
616-774-0853
Fax Number
616-774-0328
person
Provider Business Mailing Address Details
Address
1225 Lake Dr Se
City
Grand Rapids
State
Michigan
Zip
49506-1656
Phone Number
616-774-0853
Fax Number
616-774-0328
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
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Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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