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Tenagne Mengistu
Adult Care Home Facility in Grand Rapids, Michigan
NPI 1801324538

Tenagne Mengistu is an Adult Care Home Facility based in Grand Rapids, MI and is specialized in Adult Care Home. Tenagne Mengistu practices in Grand Rapids, MI. The NPI Number for Tenagne Mengistu is 1801324538 and holds a License No. AF410315360 (Michigan).

The current practice location address for Tenagne Mengistu is 604 Jefferson Ave Se, Grand Rapids, MI and can be reached out via phone at 616-589-4609.

Location: 604 Jefferson Ave Se, Grand Rapids, MI, 49503-5218
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Provider Profile Details
NPI Number
1801324538
Provider Name
Tenagne Mengistu
Credential
Provider Entity Type
Individual
Gender
Female
Address
604 Jefferson Ave Se, Grand Rapids, MI, 49503-5218
Phone Number
616-589-4609
Fax Number
Provider Enumeration Date
05/25/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
604 Jefferson Ave Se
City
State
Zip
49503-5218
Phone Number
616-589-4609
Fax Number
person
Provider Business Mailing Address Details
Address
604 Jefferson Ave Se
City
State
Zip
49503-5218
Phone Number
616-589-4609
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
License No.
AF410315360 (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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