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Organization
ADVANCED ADULT FOSTER CARE, INC.
Active
Organization
ADVANCED ADULT FOSTER CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT WAYNE MINIAT MI, DD (PRESIDENT)
(269) 760-9692
Entity
Organization
Contact information
Practice address
202 CORWIN MEADOWS DR, LAWRENCE, MI 49064-9548
(269) 674-3051
(269) 674-3051
Mailing address
PO BOX 371, PAW PAW, MI 49079-0371
(269) 674-3051
(269) 674-3051
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
AS800315037
MI
Other
Enumeration date
01/29/2016
Last updated
01/29/2016
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