Organization · Type 2 NPI

Seventy Sixth Street Afc LLC

Respite Care · Caledonia, MI

NPI number 1962773408 Active

Practice location

3554 76th St SE
Caledonia, MI 49316-9113

Fax (616) 698-6681

Mailing address

6026 Kalamazoo Ave SE, #296
Kentwood, MI 49508-7018

Specialties and licenses

TaxonomyCodeLicense
Respite Care Primary 385H00000XAM410285883 (MI)

Respite Care: Definition to come.

Another provider at this address

About NPI 1962773408

Seventy Sixth Street Afc LLC's National Provider Identifier is 1962773408, issued on Jan 14, 2012. The primary taxonomy on file is Respite Care (385H00000X), and the practice location is in Caledonia, MI. The record was last updated on Jan 14, 2012.