NPI | 1619404308 |
---|---|
Doing Business As | CALVONN"E AFC |
Entity Type | Organization |
Authorized Contact | SHELIA LYNN BURRELL Owener 616-248-1720 |
Organization Subpart ? | No |
Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: MI AS410385361) |
Enumeration Date | 2017-05-12 |
Last Update Date | 2017-05-12 |