Organization
AMANT AFC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY B DEBOER (OWNER)
(616) 818-2472
Entity
Organization
Contact information
Practice address
1018 WIDDICOMB AVE NW, GRAND RAPIDS, MI 49504-4130
(616) 228-4624
(616) 588-6048
Mailing address
1018 WIDDICOMB AVE NW, GRAND RAPIDS, MI 49504-4130
(616) 228-4624
(616) 588-6048
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AF410379501
MI
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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