Organization
KEKELIS AFC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA MASAMBAJI (DIRECTOR)
(517) 980-1925
Entity
Organization
Contact information
Practice address
731 LOUISA ST, LANSING, MI 48911-5144
(517) 980-1925
Mailing address
PO BOX 26243, LANSING, MI 48909-6243
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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