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Frances Marie Wagner
Adult Care Home Facility in Gowen, Michigan
NPI 1760910814

Frances Marie Wagner is an Adult Care Home Facility based in Gowen, MI and is specialized in Adult Care Home. Frances Marie Wagner practices in Gowen, MI. The NPI Number for Frances Marie Wagner is 1760910814 and holds a License No. AF410215936 (Michigan).

The current practice location address for Frances Marie Wagner is 12720 Lincoln Lake Ave, Gowen, MI and can be reached out via phone at 616-548-2838.

Location: 12720 Lincoln Lake Ave, Gowen, MI, 49326-9403
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760910814
Provider Name
Frances Marie Wagner
Credential
Provider Entity Type
Individual
Gender
Female
Address
12720 Lincoln Lake Ave, Gowen, MI, 49326-9403
Phone Number
616-548-2838
Fax Number
Provider Enumeration Date
06/01/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12720 Lincoln Lake Ave
City
Gowen
State
Michigan
Zip
49326-9403
Phone Number
616-548-2838
Fax Number
person
Provider Business Mailing Address Details
Address
12720 Lincoln Lake Ave
City
Gowen
State
Michigan
Zip
49326-9403
Phone Number
616-548-2838
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.
AF410215936 (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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