Organization
ROCKING HORSE RANCH AFC HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MOONYEEN L. LINCOLN (OWNER)
(616) 846-6593
Entity
Organization
Contact information
Practice address
19138 144TH AVE, FRUITPORT, MI 49415-9670
(616) 846-6593
Mailing address
19138 144TH AVE, FRUITPORT, MI 49415-9670
(616) 846-6593
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
AF700237485
MI
Other
Enumeration date
02/25/2009
Last updated
02/25/2009
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