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Organization

A PLACE CALLED HOME IN STEVENSVILLE LLC

Active
Other names
A Place Called Home
Organization subpart
No

Provider details

NPI number
Authorized official
MEAGAN NICOLE FRYE (OWNER/ADMINISTRATOR/LICENSEE)
(269) 876-6523
Entity
Organization

Contact information

Practice address
4167 N ROOSEVELT RD, STEVENSVILLE, MI 49127-9119
(269) 281-0357
(269) 281-0932
Mailing address
4167 N ROOSEVELT RD, STEVENSVILLE, MI 49127-9119
(269) 281-0357
(269) 281-0932

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AL110405928
ADULT FOSTER CARE LICENSE NUMBER
MI
Enumeration date
03/30/2021
Last updated
03/30/2021
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