| Cherry Street Services, Inc. | |
|
100 Cherry St Se Grand Rapids MI 49503-4526 | |
| (616) 965-8200 | |
| Not Available |
| Full Name | Cherry Street Services, Inc. |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 100 Cherry St Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Tasha Blackmon (CEO) |
| Authorized Official Contact | 6169658200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cherry Street Services, Inc. 100 Cherry St Se Grand Rapids MI 49503-4526 Ph: (616) 965-8209 | Cherry Street Services, Inc. 100 Cherry St Se Grand Rapids MI 49503-4526 Ph: (616) 965-8200 |
| NPI Number | 1881442242 |
|---|---|
| Provider Enumeration Date | 05/10/2024 |
| Last Update Date | 05/10/2024 |
| Certification Date | 05/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881442242 | NPI | - | NPPES |
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