Organization
EITNIEAR AFC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGARET ANN EITNIEAR (CARE GIVER)
(517) 523-4031
Entity
Organization
Contact information
Practice address
5760 HUDSON RD, OSSEO, MI 49266-9840
(517) 523-4031
Mailing address
5760 HUDSON RD, OSSEO, MI 49266-9840
(517) 523-4031
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
AF300296275
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
492666248
AFC HOME
MI
Enumeration date
10/15/2009
Last updated
10/15/2009
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