# ADVANCED ADULT FOSTER CARE, INC.

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

## Provider details

- **NPI number:** 1790143279
- **Authorized official:** MR. ROBERT WAYNE MINIAT MI, DD (PRESIDENT)
- **Authorized official phone:** (269) 760-9692

## Contact information

- **Practice address:** 202 CORWIN MEADOWS DR, LAWRENCE, MI 49064-9548
- **Practice address phone:** (269) 674-3051
- **Practice address fax:** (269) 674-3051
- **Mailing address:** PO BOX 371, PAW PAW, MI 49079-0371
- **Mailing address phone:** (269) 674-3051
- **Mailing address fax:** (269) 674-3051

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | AS800315037 | MI | Yes |

## Other

- **Enumeration date:** 01/29/2016
- **Last updated:** 01/29/2016