Healthcare Provider Details

I. General information

NPI: 1023444569
Provider Name (Legal Business Name): AFFORDABLE NURSING, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2013
Last Update Date: 09/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5960 TAHOE DR SE STE 200B
GRAND RAPIDS MI
49546-7188
US

IV. Provider business mailing address

5960 TAHOE DR SE STE 200B
GRAND RAPIDS MI
49546-7188
US

V. Phone/Fax

Practice location:
  • Phone: 616-827-1112
  • Fax:
Mailing address:
  • Phone: 616-827-1112
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KEVIN WATSON
Title or Position: PRESIDENT
Credential:
Phone: 616-827-1112