Healthcare Provider Details

I. General information

NPI: 1679622369
Provider Name (Legal Business Name): CARE RESOURCES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 08/29/2023
Certification Date: 08/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4150 KALAMAZOO AVE SE
GRAND RAPIDS MI
49508-3605
US

IV. Provider business mailing address

1471 GRACE STREET SE
GRAND RAPIDS MI
49506-1678
US

V. Phone/Fax

Practice location:
  • Phone: 616-913-2006
  • Fax:
Mailing address:
  • Phone: 616-913-2006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number4735835
License Number StateMI

VIII. Authorized Official

Name: MR. THOMAS MUSZYNSKI
Title or Position: COO
Credential: RN, BSN, CCM
Phone: 616-913-2114