Healthcare Provider Details

I. General information

NPI: 1386207868
Provider Name (Legal Business Name): M&M QUALITY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2019
Last Update Date: 04/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6411 BELLA VISTA DR NE STE 1
ROCKFORD MI
49341-7869
US

IV. Provider business mailing address

6411 BELLA VISTA DR NE STE 1
ROCKFORD MI
49341-7869
US

V. Phone/Fax

Practice location:
  • Phone: 616-285-7000
  • Fax: 616-469-2964
Mailing address:
  • Phone: 616-285-7000
  • Fax: 616-469-2964

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL THOMAS MERREN
Title or Position: OWNER
Credential: CSA
Phone: 616-285-7000