Organization
BLUEBIRD AFC MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH ANN SKAZINSKI (LICENSEE/OWNER)
(616) 261-0994
Entity
Organization
Contact information
Practice address
3571 BLUEBIRD AVE SW, WYOMING, MI 49519-3103
(616) 261-0994
(616) 259-7892
Mailing address
3571 BLUEBIRD AVE SW, WYOMING, MI 49519-3103
(616) 261-0994
(616) 259-7892
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AF410075156
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9830425
—
MI
Enumeration date
02/15/2017
Last updated
02/15/2017
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