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Jerry's Dream Adult Homes
Adult Care Home Facility in Grand Rapids, Michigan
NPI 1689102931

Jerry's Dream Adult Homes is an Adult Care Home Facility based in Grand Rapids, MI and is specialized in Adult Care Home. Jerry's Dream Adult Homes practices in Grand Rapids, MI. The NPI Number for Jerry's Dream Adult Homes is 1689102931 and holds a License No. AS410269764 (Michigan).

The current practice location address for Jerry's Dream Adult Homes is 1124 W Leonard Ct Nw, Grand Rapids, MI and can be reached out via phone at 616-735-4681.

Location: 1124 W Leonard Ct Nw, Grand Rapids, MI, 49501-1086
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689102931
Provider Name
Jerry's Dream Adult Homes
Credential
Provider Entity Type
Organization
Address
1124 W Leonard Ct Nw, Grand Rapids, MI, 49501-1086
Phone Number
616-735-4681
Fax Number
Provider Enumeration Date
05/31/2017
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1174395 05 MI
9493156 05 MI
institution
Provider Business Practice Location Address Details
Address
1124 W Leonard Ct Nw
City
Grand Rapids
State
Michigan
Zip
49534-6835
Phone Number
616-735-4681
Fax Number
person
Provider Business Mailing Address Details
Address
1124 W Leonard Ct Nw
City
Grand Rapids
State
Michigan
Zip
49534-6835
Phone Number
616-735-4681
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
AS410269764 (Michigan)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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