Organization
FREDERICKS FAMILY HOMES AFC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERYL ANN ALLES PROVIDER (CEO)
(734) 330-6400
Entity
Organization
Contact information
Practice address
14705 ALLEN RD, SOUTHGATE, MI 48195-2552
(734) 287-8982
Mailing address
14705 ALLEN RD, SOUTHGATE, MI 48195-2552
(734) 287-8982
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497951156
ADULT FOSTER CARE
—
Enumeration date
01/22/2018
Last updated
01/22/2018
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