NPI | 1285161257 |
---|---|
Former Legal Business Name | VI'S GARDEN AFC |
Entity Type | Organization |
Authorized Contact | MARVA LYNN TOWNSEND Licensee 616-633-8284 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI AS410309723) |
Enumeration Date | 2017-05-22 |
Last Update Date | 2017-05-22 |