Organization
FONAG, INC.
Active
Other names
Grace At Ecorse Home
Organization subpart
No
Provider details
NPI number
Authorized official
MFON UKO (PRESIDENT)
(734) 664-7193
Entity
Organization
Contact information
Practice address
44257 ECORSE RD, VAN BUREN TWP, MI 48111-1173
(734) 664-7194
(734) 331-9589
Mailing address
40946 CROSSBOW CIR APT 105, CANTON, MI 48188-3156
(734) 664-7194
(734) 331-9589
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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