Organization
PARADISE AFC HOME LLC
Active
Organization
PARADISE AFC HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAHLEE CAROL KENWABIKISE (OWNER)
(231) 878-0120
Entity
Organization
Contact information
Practice address
4021 W HOUGHTON LAKE RD, LAKE CITY, MI 49651-8455
(231) 839-0128
Mailing address
4021 W HOUGHTON LAKE RD, LAKE CITY, MI 49651-8455
(231) 839-0128
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
—
—
Other
Enumeration date
08/19/2026
Last updated
08/19/2026
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