NPI | 1588470090 |
---|---|
Doing Business As | BENEVOLENT AFH LLC |
Entity Type | Organization |
Authorized Contact | CEDRIC D JOHNSON Owner 262-208-6976 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2024-12-09 |
Last Update Date | 2024-12-09 |