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Brian Richard Kooiker SR.
Adult Care Home Facility in Belmont, Michigan
NPI 1740718394

Brian Richard Kooiker SR. is an Adult Care Home Facility based in Belmont, MI and is specialized in Adult Care Home. Brian Richard Kooiker SR. practices in Belmont, MI. The NPI Number for Brian Richard Kooiker SR. is 1740718394 and holds a License No. AF410356288 (Michigan).

The current practice location address for Brian Richard Kooiker SR. is 6909 Cannonsburg Rd Ne, Belmont, MI and can be reached out via phone at 616-745-6619 and via fax at 616-883-6736.

Location: 6909 Cannonsburg Rd Ne, Belmont, MI, 49306-9123
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740718394
Provider Name
Brian Richard Kooiker SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
6909 Cannonsburg Rd Ne, Belmont, MI, 49306-9123
Phone Number
616-745-6619
Fax Number
616-883-6736
Provider Enumeration Date
05/26/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6909 Cannonsburg Rd Ne
City
Belmont
State
Michigan
Zip
49306-9123
Phone Number
616-745-6619
Fax Number
616-883-6736
person
Provider Business Mailing Address Details
Address
6909 Cannonsburg Rd Ne
City
Belmont
State
Michigan
Zip
49306-9123
Phone Number
616-745-6619
Fax Number
616-883-6736
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
AF410356288 (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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