OrganizationActive
Eastern Grouphome
NPI 1639687213 · PACE Provider Organization · Grand Rapids, MI
Provider details
- NPI number
- 1639687213
- Entity type
- Organization
- Primary specialty
- PACE Provider OrganizationAgencies
- Organization subpart
- No
- Authorized official
- Amanuel Asfaha, Owener(616) 516-3888
Specialties & taxonomies
Agencies
Practice location
5770 Eastern Ave Se
Grand Rapids, MI 49508-6281
Phone: (616) 516-3888
Approximate (ZIP-level) locationGet directions
Mailing address
5770 Eastern Ave Se
Grand Rapids, MI 49508-6281
Registry dates
- Enumerated
- 2018-01-17
- Last updated
- 2018-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.