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Organization

HERITAGE AFC HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. IRENE F HALDER (LICENSEE/OWNER)
(269) 473-6006
Entity
Organization

Contact information

Practice address
8933 GEORGE AVE, BERRIEN SPRINGS, MI 49103-1576
(269) 473-6006
Mailing address
8933 GEORGE AVE, BERRIEN SPRINGS, MI 49103-1576
(269) 473-6006

Taxonomy

Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
AF110320288
MI

Other

Enumeration date
11/05/2013
Last updated
11/05/2013
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