Organization · Type 2 NPI
Agape Home at Blueberry Fields Inc.
Assisted Living Facility · Fruitport, MI
NPI number
1174873665
Active
Practice location
4747 E Mt. Garfield Rd.
Fruitport, MI 49415
Fax (231) 780-9000
Mailing address
572 Lake Forest Lane
Muskegon, MI 49441
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | AL601304298 (MI) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
About NPI 1174873665
Agape Home at Blueberry Fields Inc.'s National Provider Identifier is 1174873665, issued on Sep 12, 2012. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Fruitport, MI. The record was last updated on Sep 12, 2012.