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NPI Code Detail

MEDICARE: REACH FOR RECOVERY, INC.

MEDICARE: REACH FOR RECOVERY, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1324500000XSubstance Abuse Rehabilitation Facility700003MI

General Provider Information

NPI Number : 1508942764
Entity Type Code : Organization
Provider Name (Legal Business Name) : REACH FOR RECOVERY, INC.
Provider Business Mailing Address
First Line : 231 WASHINGTON BLVD
Second Line :
City : HOLLAND
State : MI
Zip : 49423-3126
Country : US
Telephone Number : 616-396-6872
Fax Number :
Provider Business Practice Location Address
First Line : 231 WASHINGTON BLVD
Second Line :
City : HOLLAND
State : MI
Zip : 49423-3126
Country : US
Telephone Number : 616-396-6872
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF OPERATIONS
Name : MELINDA JURRIES
Credential :
Telephone Number : 616-396-5284
Provider Enumeration Date : 10/31/2006
Last Update Date : 04/03/2023

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Directions to “REACH FOR RECOVERY, INC. ” Practice Location

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