Organization
AMANI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL KIOKO (MANAGER)
(616) 516-0614
Entity
Organization
Contact information
Practice address
4797 MILLHAVEN DR SE, KENTWOOD, MI 49548-4386
(616) 516-0614
Mailing address
4620 RESTMOR ST SW, GRANDVILLE, MI 49418-2235
(616) 516-0614
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/15/2021
Last updated
02/15/2021
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