Rochelle Rawlings

Individual provider Active NPI Adult Care Home Facility · Coopersville, MI

NPI 1326796012 · NPPES record last updated Mar 12, 2022

Key facts

NPI
1326796012
Entity type
Individual (NPI type 1)
Primary specialty
Adult Care Home Facility 311ZA0620X
License
AF700005230 (MI)
Practice address
15881 32ND Ave
Coopersville, MI 49404-9636
Phone
(616) 677-3268
NPI assigned
Mar 12, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
AF700005230MIMDAdult Care Home Facility

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X
Adult Care Home Facility 311ZA0620X AF700005230 MI Yes

Addresses

Primary practice location

15881 32ND Ave
Coopersville, MI 49404-9636

Mailing address

15881 32ND Ave
Coopersville, MI 49404-9636
Phone (616) 677-3268

Other providers in Coopersville, MI

All providers in Coopersville, MI · Adult Care Home Facility in Michigan

Sources for this page

Verify at the official NPI Registry.