NPI 1043759111

Farragut Home Care LLC

Organisation Adult Care Home Facility Wyoming, MI

Practice location

Address: 1839 Farragut St SW, Wyoming, MI 49519-1734
Phone: (616) 291-4326
Fax: (616) 956-0441
Mailing address: 634 S Whitman CT SE, Ada, MI 49301-7711

Authorised official

Name: Tesie Quiton
Title: Afc Provider
Phone: (616) 291-4326

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence AM410245599 (MI)

Other Custodial Care Facility providers in Michigan →

Registry record

NPI: 1043759111
Entity type: Organization
NPI issued: 21 Feb 2017
Record last updated: 21 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.