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76th St Afc Llc
Adult Care Home Facility in Caledonia, Michigan
NPI 1366982159

76th St Afc Llc is an Adult Care Home Facility based in Grand Rapids, MI and is specialized in Adult Care Home. 76th St Afc Llc practices in Caledonia, MI. The NPI Number for 76th St Afc Llc is 1366982159 and holds a License No. AM410285883 (Michigan).

The current practice location address for 76th St Afc Llc is 3554 76Th St Se, Caledonia, MI and can be reached out via phone at 616-698-6681.

Location: 3554 76Th St Se, Caledonia, MI, 49508-7018
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366982159
Provider Name
76th St Afc Llc
Credential
Provider Entity Type
Organization
Address
3554 76Th St Se, Caledonia, MI, 49508-7018
Phone Number
616-698-6681
Fax Number
Provider Enumeration Date
02/28/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3554 76Th St Se
City
Caledonia
State
Michigan
Zip
49316-9113
Phone Number
616-698-6681
Fax Number
person
Provider Business Mailing Address Details
Address
3554 76Th St Se
City
Caledonia
State
Michigan
Zip
49316-9113
Phone Number
616-698-6681
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
AM410285883 (Michigan)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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