Organization · Type 2 NPI
76th ST Afc LLC
Adult Care Home Facility · Caledonia, MI
NPI number
1366982159
Active
Practice location
3554 76th St SE
Caledonia, MI 49316-9113
Mailing address
6026 Kalamazoo Ave SE, Ste 296
Grand Rapids, MI 49508-7018
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | AM410285883 (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.
Another provider at this address
Other adult care home facility providers in Caledonia
About NPI 1366982159
76th ST Afc LLC's National Provider Identifier is 1366982159, issued on Feb 28, 2017. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Caledonia, MI. The record was last updated on Feb 28, 2017.