Provider Demographics
NPI:1790126290
Name:FIRST STEPS KENT
Entity Type:Organization
Organization Name:FIRST STEPS KENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBEKAH
Authorized Official - Middle Name:
Authorized Official - Last Name:FENNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-632-1018
Mailing Address - Street 1:118 COMMERCE AVE SW STE 300
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49503-4106
Mailing Address - Country:US
Mailing Address - Phone:616-632-1003
Mailing Address - Fax:616-632-1003
Practice Address - Street 1:118 COMMERCE AVE SW STE 300
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49503-4106
Practice Address - Country:US
Practice Address - Phone:616-632-1003
Practice Address - Fax:616-632-1003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-12
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management