Healthcare Provider Details

I. General information

NPI: 1205442142
Provider Name (Legal Business Name): COMPREHENSIVE HEALTH AND HOME CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2020
Last Update Date: 10/27/2020
Certification Date: 10/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2505 BURTON ST SE STE 102A
GRAND RAPIDS MI
49546-4804
US

IV. Provider business mailing address

2505 BURTON ST SE STE 102A
GRAND RAPIDS MI
49546-4804
US

V. Phone/Fax

Practice location:
  • Phone: 616-431-1267
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SUMMER WILLIAMS
Title or Position: CEO
Credential:
Phone: 616-729-0303