Organization
NOAH'S AFC HOME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASTER SOLOMON MEKONNEN CARE GIVER (ADMINISTRATOR)
(517) 694-2351
Entity
Organization
Contact information
Practice address
2299 N VERNON AVE, HOLT, MI 48842-2125
(517) 694-2351
Mailing address
2299 N VERNON AVE, HOLT, MI 48842-2125
(517) 694-2351
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
12/22/2016
Last updated
12/22/2016
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