Indian Trails Camp, Inc.
NPI #1629381868 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1629381868
- Entity Type
- Organization
- Organization Name
- Indian Trails Camp, Inc.
- Primary Specialty
- Respite Care - Respite Care Camp
- Enumeration Date
- Jul 16, 2010
- Last Updated
- Jul 16, 2010
Practice Location
- Address
- O-1859 LAKE MICHIGAN DR NW
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49534-9578
- Phone
- (616) 677-5251
Authorized Official
- Name
- TIM HILEMAN
- Title
- EXECUTIVE DIRECTOR
- Phone
- (616) 677-5251
Specialties & Taxonomy Codes
| Specialty |
|---|
| Respite Care - Respite Care Camp — Respite Care Camp |
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