| NPI | 1609951599 |
|---|---|
| Doing Business As | STALLWORTH AFC |
| Entity Type | Organization |
| Authorized Contact | GAIL STALLWORTH Administrator 313-319-5526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor (Licence: MI AL820007644) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |