Ferny Afc Home LLC
NPI #1457789141 in Benton Harbor, Michigan
Provider Information
- NPI Number
- 1457789141
- Entity Type
- Organization
- Organization Name
- Ferny Afc Home LLC
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Oct 16, 2013
- Last Updated
- Mar 29, 2024
Practice Location
- Address
- 1564 N M 63
- City
- Benton Harbor
- State
- Michigan
- ZIP Code
- 49022-2759
- Phone
- (269) 449-5400
Authorized Official
- Name
- TIMOTHY RANTZ
- Title
- LICENSEE DESIGNEE
- Phone
- (269) 449-5400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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