Organization
THE AVENUE FAMILY NETWORK, INC.
Active
Organization
THE AVENUE FAMILY NETWORK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH K. GOEPFRICH (EXECUTIVE DIRECTOR)
(269) 925-1725
Entity
Organization
Contact information
Practice address
2450 M 139, BENTON HARBOR, MI 49022-6445
(269) 925-1725
(269) 925-1730
Mailing address
P.O. BOX 8789, BENTON HARBOR, MI 49023
(269) 925-1725
(269) 925-1730
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/18/2013
Last updated
04/21/2023
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