Organization
MORAVIAN HOUSING FOR SENIORS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEONA LASHEL FOUNTAIN (OWNER)
(616) 548-6619
Entity
Organization
Contact information
Practice address
35693 MORAVIAN DR, CLINTON TOWNSHIP, MI 48035-2137
(616) 548-6619
Mailing address
35693 MORAVIAN DR, CLINTON TOWNSHIP, MI 48035-2137
(616) 548-6619
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251G00000X
Community Based Hospice Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
01/02/2023
Last updated
01/02/2023
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