Seventy Sixth Street Afc LLC

NPI #1962773408 in Caledonia, Michigan

Provider Information

NPI Number
1962773408
Entity Type
Organization
Organization Name
Seventy Sixth Street Afc LLC
Primary Specialty
Respite Care
Enumeration Date
Jan 14, 2012
Last Updated
Jan 14, 2012

Practice Location

Address
3554 76TH ST SE
ZIP Code
49316-9113
Phone
(616) 698-6681

Authorized Official

Name
MRS. DEBRA ANN KRAJEWSKI
Title
OWNER
Phone
(616) 318-1961

Specialties & Taxonomy Codes

Specialty
Respite Care

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