Organization
ATL HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TESIE QUITON (AFC PROVIDER)
(616) 291-4326
Entity
Organization
Contact information
Practice address
4711 CHALET LN SW, WYOMING, MI 49519-4911
(616) 291-4326
(616) 956-0441
Mailing address
634 S WHITMAN CT SE, ADA, MI 49301-7711
(616) 291-4326
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AS410251218
MI
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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