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Organization
ACHIEVING INDEPENDENCE AFC LLC
Active
Organization
ACHIEVING INDEPENDENCE AFC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA JEAN AMBRUS (LICENSEE/OWNER)
(616) 724-4758
Entity
Organization
Contact information
Practice address
4280 BURLINGAME AVE SW, WYOMING, MI 49509-3727
(616) 724-4758
(616) 534-5940
Mailing address
4280 BURLINGAME AVE SW, WYOMING, MI 49509-3727
(616) 724-4758
(616) 534-5940
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AM410311939
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0053805
—
MI
Enumeration date
02/15/2017
Last updated
02/15/2017
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