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Organization

GROSS ADULT FOSTER CARE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHERIA GROSS (ADMINISTRATOR)
(810) 691-1459
Entity
Organization

Contact information

Practice address
5286 E VIENNA RD, CLIO, MI 48420-9770
(810) 691-1459
(810) 687-2596
Mailing address
1267 E FARRAND RD, CLIO, MI 48420-9137
(810) 691-1459
(810) 687-2596

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AL250255297
MI
311ZA0620X
Adult Care Home Facility
AS250278254
MI

Other

Enumeration date
03/30/2012
Last updated
03/30/2012
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