| Vida Wellness | |
|
3167 Kalamazoo Ave Se Ste 205 Grand Rapids MI 49508-1475 | |
| (773) 987-1357 | |
| (616) 414-8530 |
| Full Name | Vida Wellness |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 3167 Kalamazoo Ave Se Ste 205, Grand Rapids, Michigan |
| Authorized Official Name and Position | Rebeca E Davila (OWNER) |
| Authorized Official Contact | 7739871357 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vida Wellness 822 Cass Ave Se Grand Rapids MI 49507-1116 Ph: (773) 987-1357 | Vida Wellness 3167 Kalamazoo Ave Se Ste 205 Grand Rapids MI 49508-1475 Ph: (773) 987-1357 |
| NPI Number | 1073246047 |
|---|---|
| Provider Enumeration Date | 07/06/2022 |
| Last Update Date | 07/06/2022 |
| Certification Date | 07/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073246047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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