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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