MR. RONALD DEBOSE

Substance Abuse Rehabilitation Facility

Active Individual
NPI: 1609129782

Practice Address

1139 THOMAS ST SE
Grand Rapids, MI 49506

Phone: (616) 459-6817

Specialties

Specialty Code Primary License
Substance Abuse Rehabilitation Facility 324500000X Yes -

Frequently Asked Questions

NPI 1609129782 is the National Provider Identifier for MR. RONALD DEBOSE, a Substance Abuse Rehabilitation Facility provider located in Grand Rapids, MI. This NPI was enumerated on October 26, 2012.
MR. RONALD DEBOSE practices at 1139 THOMAS ST SE, Grand Rapids, MI 49506.

Quick Facts

NPI
1609129782
Type
Individual
Enumerated
Oct 26, 2012
Last Updated
Oct 26, 2012

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