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Organization
GRAND TRAVERSE ADULT FOSTER CARE, INC.
Active
Organization
GRAND TRAVERSE ADULT FOSTER CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPHINE AKUNNE R. PH., PHARM. D. (PRESIDENT & CEO)
(734) 973-7764
Entity
Organization
Contact information
Practice address
3820 PACKARD ST, SUITE 180, ANN ARBOR, MI 48108-5000
(734) 973-7764
(734) 973-7897
Mailing address
3820 PACKARD ST, SUITE 180, ANN ARBOR, MI 48108-5000
(734) 973-7764
(734) 973-7897
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
11/07/2006
Last updated
08/22/2020
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