St. Ann's Home Inc.
NPI #1093719718 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1093719718
- Entity Type
- Organization
- Organization Name
- St. Ann's Home Inc.
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jun 10, 2005
- Last Updated
- May 29, 2009
Practice Location
- Address
- 2161 LEONARD ST NW
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49504-3829
- Phone
- (616) 453-7715
Authorized Official
- Name
- MR. STEVE VERNON ROLSTON
- Title
- ADMINISTRATOR
- Phone
- (616) 453-7715
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
| Assisted Living Facility |
| Skilled Nursing Facility |
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