Organization
HEAVENLY COMFORT AFC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHEANA LOUISE WALDBURG (OWNER)
(313) 434-5810
Entity
Organization
Contact information
Practice address
19103 WOODMONT ST, HARPER WOODS, MI 48225-1319
(313) 434-5810
Mailing address
19103 WOODMONT ST, HARPER WOODS, MI 48225-1319
(313) 434-5810
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
AS820316694
MI
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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