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Jacob Smith
Respite Care in Grand Rapids, Michigan
NPI 1376974808

Jacob Smith is a Respite Care based in Grand Rapids, MI. Jacob Smith practices in Grand Rapids, MI. The NPI Number for Jacob Smith is 1376974808 and holds a License No. 38-2481067 (Michigan).

The current practice location address for Jacob Smith is 1490 E Beltline Ave Se, Grand Rapids, MI and can be reached out via phone at 616-957-4057.

Location: 1490 E Beltline Ave Se, Grand Rapids, MI, 49506-4336
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376974808
Provider Name
Jacob Smith
Credential
Provider Entity Type
Individual
Gender
Male
Address
1490 E Beltline Ave Se, Grand Rapids, MI, 49506-4336
Phone Number
616-957-4057
Fax Number
Provider Enumeration Date
12/10/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1490 E Beltline Ave Se
City
Grand Rapids
State
Michigan
Zip
49506-4336
Phone Number
616-957-4057
Fax Number
person
Provider Business Mailing Address Details
Address
1490 E Beltline Ave Se
City
Grand Rapids
State
Michigan
Zip
49506-4336
Phone Number
616-957-4057
Fax Number
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
385H00000X
License No.
38-2481067 (Michigan)
Definition
Definition to come.
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