NPI | 1962127340 |
---|---|
Doing Business As | CHURCHILL FARMS AFC |
Entity Type | Organization |
Authorized Contact | PAUL COFFEEN Administrator 810-667-4802 |
Organization Subpart ? | No |
Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
Enumeration Date | 2022-10-07 |
Last Update Date | 2022-10-07 |