Organization
PORTER PLACE AFC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL BURNETT (OWNER/MANAGER)
(810) 603-1393
Entity
Organization
Contact information
Practice address
6191 PORTER RD, GRAND BLANC, MI 48439-8540
(810) 603-1393
(810) 603-1394
Mailing address
6191 PORTER RD, GRAND BLANC, MI 48439-8540
(810) 603-1393
(810) 603-1394
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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