Organization
MAPLE RIDGE ADULT FOSTER CARE HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA ANN HINKSON (PRESIDENT)
(906) 586-3019
Entity
Organization
Contact information
Practice address
2979 COUNTY ROAD 413, MC MILLAN, MI 49853-9357
(906) 586-3019
(906) 586-6608
Mailing address
2979 COUNTY ROAD 413, MC MILLAN, MI 49853-9357
(906) 586-3019
(906) 586-6608
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
AM480008975
MI
Other
Enumeration date
08/31/2010
Last updated
08/31/2010
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