Organization
AGNUS DEI AFC HOME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES M. SAINTZ (LICENSEE)
(269) 686-8212
Entity
Organization
Contact information
Practice address
1307 42ND ST, ALLEGAN, MI 49010-8312
(269) 686-8212
Mailing address
1307 42ND ST, ALLEGAN, MI 49010-8312
(269) 686-8212
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
AS030308931
MI
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
AS800287287
MI
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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