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Mrs. Verena Louise Love
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Waterford, Michigan
NPI 1538682786

Verena Louise Love is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Waterford, MI. Verena Louise Love practices in Waterford, MI. The NPI Number for Verena Louise Love is 1538682786 and holds a License No. AF630004770 (Michigan).

The current practice location address for Verena Louise Love is 2317 Crane St, Waterford, MI and can be reached out via phone at 248-673-9252.

Location: 2317 Crane St, Waterford, MI, 48329-3726
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538682786
Provider Name
Verena Louise Love
Credential
Provider Entity Type
Individual
Gender
Female
Address
2317 Crane St, Waterford, MI, 48329-3726
Phone Number
248-673-9252
Fax Number
Provider Enumeration Date
07/19/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AF630004770 01 MI AFC HOME
institution
Provider Business Practice Location Address Details
Address
2317 Crane St
City
Waterford
State
Michigan
Zip
48329-3726
Phone Number
248-673-9252
Fax Number
person
Provider Business Mailing Address Details
Address
2317 Crane St
City
Waterford
State
Michigan
Zip
48329-3726
Phone Number
248-673-9252
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
AF630004770 (Michigan)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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