Agape Home At Blueberry Fields Inc.

NPI 1174873665 - Assisted Living Facility - 310400000X

NPI Details
NPI 1174873665
Enumeration Date 09/12/2012
Last Updated 09/12/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name RICHARD HAROLD RICHARD
Position PRESIDENT
Phone (231) 780-2229
Fax (231) 780-9000
Practice Location
4747 E MT. GARFIELD RD.
FRUITPORT MI, 49415, US
Phone (231) 780-2229
Fax (231) 780-9000
Business Location
572 LAKE FOREST LANE
MUSKEGON MI, 49441, US
Phone (231) 780-2229
Fax (231) 780-9000
Toxanomy
Taxonomy Code 310400000X
License State Michigan
License Number AL601304298
Remove 1174873665 NPI Number
 

According to our database, Agape Home At Blueberry Fields Inc. NPI is 1174873665, taxonomy code is 310400000X and license number is AL601304298, license state is located at Michigan. Agape Home At Blueberry Fields Inc. physically located at 4747 E Mt. Garfield Rd., Fruitport MI, 49415. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1174873665 NPI number is provided on an as is basis without warranty of any kind. 1174873665 is maintained by the National Plan & Provider Enumeration System. The contents of Agape Home At Blueberry Fields Inc. are for informational purposes only.