Individual
MRS. VERENA LOUISE LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
AF630004770
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AF630004770
AFC HOME
MI
Enumeration date
07/19/2017
Last updated
06/16/2018
Update your record
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