Organization
AGAPE HOME AT BLUEBERRY FIELDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD HAROLD EBELING (PRESIDENT)
(231) 780-2229
Entity
Organization
Contact information
Practice address
4747 E MT. GARFIELD RD., FRUITPORT, MI 49415
(231) 780-2229
(231) 780-9000
Mailing address
572 LAKE FOREST LANE, MUSKEGON, MI 49441
(231) 780-2229
(231) 780-9000
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL601304298
MI
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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