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General NPI Number Information
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NPI Number | 1215858360
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Entity Type | Organization
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Legal Business Name | REHOBOTH AFC
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Dates
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Enumeration Date | 07/23/2026
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Last Update Date | 07/23/2026
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Provider Practice Location Address
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Address Line | 2990 138TH AVE
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City | DORR
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State | MI
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Zip | 49323-9533
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Country | US
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Telephone | 616-371-7260
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Fax | 616-371-7270
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Provider Business Mailing Address
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Address Line | 9505 HOMERICH AVE SW
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City | BYRON CENTER
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State | MI
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Zip | 49315-8889
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Country | US
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Telephone | 616-610-4097
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. JENNIFER J ZANDSTRA
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Credential |
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Telephone | 616-610-4097
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376G00000X
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Taxonomy Name | Nursing Home Administrator
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License Number |
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License Number State |
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