Organization
AVALON ADULT FOSTER CARE LLC
Active
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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