# GUNDEN AFC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306115894
- **Authorized official:** JAY GUNDEN (HOME PROVIDER)
- **Authorized official phone:** (989) 588-6769

## Contact information

- **Practice address:** 16 KAPPLINGER DR, FARWELL, MI 48622-9405
- **Practice address phone:** (989) 588-6769
- **Mailing address:** PO BOX 129, FARWELL, MI 48622-0129
- **Mailing address phone:** (989) 588-6769

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | AS180010543 | MI | Yes |

## Other

- **Enumeration date:** 12/29/2011
- **Last updated:** 12/29/2011