institution
Bolden Afc Llc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in South Haven, Michigan
NPI 1225671621

Bolden Afc Llc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in South Haven, MI. Bolden Afc Llc practices in South Haven, MI. The NPI Number for Bolden Afc Llc is 1225671621 and holds a License No. (Michigan).

The current practice location address for Bolden Afc Llc is 7027 Baseline Rd, South Haven, MI and can be reached out via phone at 269-214-2142.

Location: 7027 Baseline Rd, South Haven, MI, 49090-9132
institution
Provider Profile Details
NPI Number
1225671621
Provider Name
Bolden Afc Llc
Credential
Provider Entity Type
Organization
Address
7027 Baseline Rd, South Haven, MI, 49090-9132
Phone Number
269-214-2142
Fax Number
Provider Enumeration Date
10/18/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1235789553 05 MI
institution
Provider Business Practice Location Address Details
Address
7027 Baseline Rd
City
State
Zip
49090-8338
Phone Number
269-214-2142
Fax Number
person
Provider Business Mailing Address Details
Address
7027 Baseline Rd
City
State
Zip
49090-8338
Phone Number
269-214-2142
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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