Agnus Dei Afc Home Inc.

NPI #1639453533 in Allegan, Michigan

Provider Information

NPI Number: 1639453533
Entity Type: Organization
Organization Name: Agnus Dei Afc Home Inc.
Primary Specialty: Intermediate Care Facility, Intellectual Disabilities
Enumeration Date: Oct 11, 2011
Last Updated: Oct 11, 2011

Practice Location

Address: 1307 42ND ST
City: Allegan
State: Michigan
ZIP Code: 49010-8312
Phone: (269) 686-8212

Authorized Official

Name: MR. JAMES M. SAINTZ
Title: LICENSEE
Phone: (269) 686-8212

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Intermediate Care Facility, Intellectual Disabilities	315P00000X	Primary

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