Organization
AVALON ADULT FOSTER CARE LLC
Active
Other names
Avalon Adult Foster Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE GRANGER (OWNER)
(321) 289-2141
Entity
Organization
Contact information
Practice address
381 HOUSTON AVE, MUSKEGON, MI 49441-1912
(321) 289-2141
Mailing address
5001 NORTHWEST DR UNIT 1773, SAINT PAUL, MN 55111-3033
(321) 289-2141
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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