Organization
SHEDRICE'S AFC
Active
Other names
calvonn'e AFC
Organization subpart
No
Provider details
NPI number
Authorized official
SHELIA LYNN BURRELL (OWENER)
(616) 248-1720
Entity
Organization
Contact information
Practice address
246 POWELL SE AVE, GRAND RAPIDS, MI 49507
(616) 248-1720
(616) 248-1720
Mailing address
246 POWELL ST SE, GRAND RAPIDS, MI 49507-1176
(616) 248-1720
(616) 248-1720
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
AS410385361
MI
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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