Organization
HAVEN ADULT FOSTER CARE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES P CRYDERMAN (ADMINISTRATOR)
(586) 784-8890
Entity
Organization
Contact information
Practice address
73600 CHURCH ST, ARMADA, MI 48005-4749
(586) 784-8890
(586) 784-8894
Mailing address
73600 CHURCH ST, ARMADA, MI 48005-4749
(586) 784-8890
(586) 784-8894
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
05/15/2020
Last updated
01/20/2023
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