Organization
FAMILY TREE ADULT FOSTER CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACIE ELIZABETH PARKER (OWNER/PRESIDENT/ADMINISTRATOR)
(231) 873-7737
Entity
Organization
Contact information
Practice address
6699 N OCEANA DR, HART, MI 49420-8422
(231) 873-7737
Mailing address
6699 N OCEANA DR, HART, MI 49420-8422
(231) 873-7737
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AM640384872
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0185492
—
MI
01
—
AM640384872
STATE LICENSING
MI
Enumeration date
08/03/2017
Last updated
07/21/2022
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