Organization
EVERGREEN MEADOW AFC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL PATRICK ERDMAN (AFC OPERATOR/OWNER)
(616) 682-0848
Entity
Organization
Contact information
Practice address
1944 BUTTRICK AVE SE, ADA, MI 49301-9204
(616) 682-0848
Mailing address
1944 BUTTRICK AVE SE, ADA, MI 49301-9204
(616) 682-0848
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AF410255092
MI
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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