76TH ST AFC LLC
Organization (NPI-2)
Active
Custodial Care Facility, Adult Care Home
Provider Information
- NPI Number
1366982159- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 3554 76TH ST SE, CALEDONIA, MI, 493169113
- Phone
- (616) 698-6681
Specialties & Taxonomies
Custodial Care Facility, Adult Care Home
Primary License: MI #AM410285883
All Addresses
MAILING
6026 KALAMAZOO AVE SE STE 296
GRAND RAPIDS, MI, 495087018