Organization
MEISER ADULT FOSTER CARE HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN J PUMFORD (PRESIDENT)
(989) 770-4650
Entity
Organization
Contact information
Practice address
4764 W BURT RD, MONTROSE, MI 48457-9372
(989) 770-4650
Mailing address
4764 W BURT RD, MONTROSE, MI 48457-9372
(989) 770-4650
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
AL730007419
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0563044
—
MI
Enumeration date
11/01/2007
Last updated
11/01/2007
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