Healthcare Provider Details

I. General information

NPI: 1497418024
Provider Name (Legal Business Name): WELLTECH RECOVERY SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2021
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5960 TAHOE DR SE STE 102
GRAND RAPIDS MI
49546-7124
US

IV. Provider business mailing address

5960 TAHOE DR SE STE 102
GRAND RAPIDS MI
49546-7124
US

V. Phone/Fax

Practice location:
  • Phone: 616-485-6366
  • Fax:
Mailing address:
  • Phone: 616-485-6366
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DAVID PAUL DEMAAGD
Title or Position: PARTNER
Credential:
Phone: 616-485-6366