Grand Traverse Adult Foster Care, Inc.

NPI 1487723961 - Custodial Care Facility - 311ZA0620X

NPI Details
NPI 1487723961
Enumeration Date 11/07/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JOSEPHINE JOSEPHINE
Position PRESIDENT & CEO
Phone (734) 973-7764
Fax (734) 973-7897
Practice Location
3820 PACKARD ST
SUITE 180
ANN ARBOR MI, 48108-5000, US
Phone (734) 973-7764
Fax (734) 973-7897
Business Location
3820 PACKARD ST
SUITE 180
ANN ARBOR MI, 48108-5000, US
Phone (734) 973-7764
Fax (734) 973-7897
Toxanomy
Taxonomy Code 311ZA0620X
License State
License Number
Remove 1487723961 NPI Number
 

According to our database, Grand Traverse Adult Foster Care, Inc. NPI is 1487723961, taxonomy code is 311ZA0620X Grand Traverse Adult Foster Care, Inc. physically located at 3820 Packard St, Ann Arbor MI, 48108-5000. NPI Number 1033115704 has the healthcare provider type.

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1487723961 NPI number is provided on an as is basis without warranty of any kind. 1487723961 is maintained by the National Plan & Provider Enumeration System. The contents of Grand Traverse Adult Foster Care, Inc. are for informational purposes only.