| Muskegon Recovery Center | |
|
1611 Oak Ave Muskegon MI 49442-2468 | |
| (616) 965-8200 | |
| (616) 940-5366 |
| Full Name | Muskegon Recovery Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1611 Oak Ave, Muskegon, Michigan |
| Authorized Official Name and Position | Tasha Blackmon (CEO) |
| Authorized Official Contact | 6169658215 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Muskegon Recovery Center 100 Cherry St Se Grand Rapids MI 49503-4526 Ph: (616) 965-8200 | Muskegon Recovery Center 1611 Oak Ave Muskegon MI 49442-2468 Ph: (616) 965-8200 |
| NPI Number | 1346600905 |
|---|---|
| Provider Enumeration Date | 02/25/2016 |
| Last Update Date | 08/25/2023 |
| Certification Date | 08/25/2023 |
| Medicare PECOS PAC ID | 6800707647 |
|---|---|
| Medicare Enrollment ID | O20170105000134 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346600905 | NPI | - | NPPES |
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