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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