| NPI | 1073755336 |
|---|---|
| Doing Business As | MT. VERNON AFC |
| Entity Type | Organization |
| Authorized Contact | ADEBIYI BILL AINA Owner/President 269-267-7404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: MI AS390290297) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2009-04-01 |