Organization
GORETTI HEALTH LLC
Active
Other names
Goretti Adult Foster Care
Organization subpart
No
Provider details
NPI number
Authorized official
FIDELIS KAMUNTU (MANAGER)
(701) 429-8305
Entity
Organization
Contact information
Practice address
4303 LINDEN DR, MIDLAND, MI 48640-2615
(989) 400-5367
Mailing address
4303 LINDEN DR, MIDLAND, MI 48640-2615
(989) 400-5367
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
10/27/2021
Last updated
09/06/2023
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