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
| Taxonomy | Code | License |
|---|---|---|
| Respite Care Primary | 385H00000X | AM410285883 (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.