Organization
BLESSED HOME AFC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ADENIYI PHD, ND (ADMINISTRATOR)
(269) 684-2668
Entity
Organization
Contact information
Practice address
1217 STATELINE RD, NILES, MI 49120-4729
(269) 684-2668
(269) 683-8986
Mailing address
1217 STATELINE RD, NILES, MI 49120-4729
(269) 684-2668
(269) 683-8986
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
AL 110238445
MI
Other
Enumeration date
06/24/2013
Last updated
06/24/2013
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