Whalio Doctors

NPI 1922523505

Green Acres Afc

Organisation Foster Care Agency Traverse City, MI

Practice location

Address
127 Potter Rd W, Traverse City, MI 49696-8525
Phone
(231) 947-7055
Fax
(231) 947-7060
Mailing address
9822 N Long Lake Rd, Traverse City, MI 49685-9106

Authorised official

Name
Sarah Louise Miner
Title
Licensee/Owner
Phone
(231) 632-8810

Registered specialties

Foster Care Agency Primary
Agencies Taxonomy 253J00000X Licence AG280278926 (MI)

Registry record

NPI
1922523505
Entity type
Organization
NPI issued
4 Aug 2017
Record last updated
4 Aug 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.