NPI 1942639521

Heritage Afc Home

Organisation Custodial Care Facility Berrien Springs, MI

Practice location

Address: 8933 George Ave, Berrien Springs, MI 49103-1576
Phone: (269) 473-6006

Authorised official

Name: Irene F Halder
Title: Licensee/Owner
Phone: (269) 473-6006

Registered specialties

Custodial Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311Z00000X Licence AF110320288 (MI)

Other Custodial Care Facility providers in Michigan →

Registry record

NPI: 1942639521
Entity type: Organization
NPI issued: 5 Nov 2013
Record last updated: 5 Nov 2013

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.