Amaya Group Home

NPI #1093000416 in New Haven, Michigan

Provider Information

NPI Number: 1093000416
Entity Type: Organization
Organization Name: Amaya Group Home
Primary Specialty: Foster Care Agency
Enumeration Date: Jun 14, 2011
Last Updated: Jun 14, 2011

Practice Location

Address: 59755 HAVENRIDGE RD
City: New Haven
State: Michigan
ZIP Code: 48048-1916
Phone: (313) 215-1551

Authorized Official

Name: PATRICIA HANCOCK
Title: LISCENSEE
Phone: (313) 215-1551

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Foster Care Agency	253J00000X	Primary

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