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Organization
GATU AFC
Active
Organization
GATU AFC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOISE C GATU (OWNER)
(617) 680-6587
Entity
Organization
Contact information
Practice address
2502 CAPITAL AVE SW, BATTLE CREEK, MI 49015-4104
(617) 680-6587
Mailing address
2502 CAPITAL AVE SW, BATTLE CREEK, MI 49015-4104
(617) 680-6587
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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