Organization
MIDWEST AFC HOMES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OKEY ALEXANDER WACHUKU (CEO)
(734) 365-4707
Entity
Organization
Contact information
Practice address
21880 FARMINGTON RD, FARMINGTON, MI 48336-4412
(734) 365-4707
Mailing address
21880 FARMINGTON RD, FARMINGTON, MI 48336-4412
(734) 365-4707
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AS 820299716
MI
311ZA0620X
Adult Care Home Facility
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Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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