Organization

Home Connection Therapy Llc

Occupational Therapist in Grand Rapids, MI(View on Map)

Legal Business Name

Home Connection Therapy Llc

NPI Number

1265005151

NPI Type

Organization

Enumeration Date

07/20/2021

Specialties

(Taxonomies)

Code

225X00000X
225100000X

Primary Taxonomy

Yes
No

Contact
Information

Purpose

Mailing
Location

Address

1232 GRISWOLD ST SE
1232 GRISWOLD ST SE

City

Grand Rapids
Grand Rapids

State

MI
MI

Postal Code

49507-3815
49507-3815

Country

US
US

Telephone Number

(616) 890-8660
(616) 890-8660

Authorized Official

Name

Lauren Vanderlaan

Title or Position

MANAGING MEMBER / OWNER

Telephone Number

(616) 890-8660

Identifiers

Identifier

1265005151

Identifier State

MI

Identifier Issuer

GROUP NPI

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/23/2024

Provider Address

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