Clark Retirement Community, Inc.
NPI #1265421051 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1265421051
- Entity Type
- Organization
- Organization Name
- Clark Retirement Community, Inc.
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 14, 2005
- Last Updated
- Apr 7, 2015
Practice Location
- Address
- 1551 FRANKLIN ST SE
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49506
- Phone
- (616) 452-1568
Authorized Official
- Name
- MR. BRIAN A PANGLE
- Title
- PRESIDENT/CEO
- Phone
- (616) 452-1568
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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