Autumn Woods Residential Health Care Facility

NPI Provider: 1205833175
Contact Name: wolf j elizabeth
Position: administrator/vice president
Phone: (586) 574-3444

Autumn Woods Residential Health Care Facility Information:

Autumn Woods Residential Health Care Facility organization have npi 1205833175, taxonomy code is 314000000X with license number is 504240 in . This Business address located in 29800 Hoover Rd, Warren, MI 48093 Michigan.

Practice Location
Address: 29800 Hoover Rd, Warren, MI 48093
Phone: (158) 657-4344

Business Location
Address: 29800 Hoover Rd, Warren, MI 48093
Phone: (158) 657-4344
Fax: (586) 574-9548

Taxonomy

Taxonomy Code: 314000000X

License Number: 504240

License Number of State: MI

Primary Taxonomy Switch: Y

Enumeration Date: 7/6/2005

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