OrganizationActive
Eda Leach
NPI 1619294634 · Exclusive Provider Organization · Wyoming, MI
Provider details
- NPI number
- 1619294634
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Eda Leach, Social Worker(616) 531-1142
- License
- 638107811 (MI)
Specialties & taxonomies
Managed Care Organizations
Behavioral Health & Social Service Providers
Managed Care Organizations
Practice location
1746 Den Hertog St Sw
Wyoming, MI 49519-3337
Phone: (616) 531-1142
Fax: (616) 531-1142
Approximate (ZIP-level) locationGet directions
Mailing address
1746 Den Hertog St Sw
Wyoming, MI 49519-3337
Other names (DBA / former)
- Doing business as
- Eda Leach
Registry dates
- Enumerated
- 2010-04-29
- Last updated
- 2010-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.