Organization · Type 2 NPI
Fannview Afc LLC
Adult Care Home Facility · Grand Rapids, MI
NPI number
1053850776
Active
Practice location
1948 Millbank St SE
Grand Rapids, MI 49508-2673
Mailing address
210 Hodenpyl Rd SE
Grand Rapids, MI 49506-2060
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | AS410317479 (MI) |
| Respite Care | 385H00000X | AS410317479 (MI) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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About NPI 1053850776
Fannview Afc LLC's National Provider Identifier is 1053850776, issued on Feb 14, 2017. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Grand Rapids, MI. The record was last updated on Feb 14, 2017.