Organization
INDIAN TRAIL AFC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE WARNICK (OWNER)
(231) 631-4355
Entity
Organization
Contact information
Practice address
844 INDIAN TRAIL BLVD, TRAVERSE CITY, MI 49686-3640
(231) 631-4355
Mailing address
844 INDIAN TRAIL BLVD, TRAVERSE CITY, MI 49686-3640
(231) 631-4355
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AF280015720
MI
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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