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Organization

MAPLE GROVE AFC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LINDSEY ELIZABETH SCHNAUTZ (RESIDENT AGENT)
(616) 350-7865
Entity
Organization

Contact information

Practice address
17460 12 MILE RD, BIG RAPIDS, MI 49307-9554
(231) 220-9123
Mailing address
17460 12 MILE RD, BIG RAPIDS, MI 49307-9554
(231) 220-9123

Taxonomy

Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary

Other

Enumeration date
09/27/2022
Last updated
09/27/2022
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