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BLESSED HOME AFC SERVICES LLC NPI 1346689221


NPI Information

NPI: 1346689221
Provider Name: BLESSED HOME AFC SERVICES, LLC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
1217 STATELINE RD
NILES, MI
ZIP 49120
Phone: (269) 684-2668
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BLESSED HOME AFC SERVICES, LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Niles, MI. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. BLESSED HOME AFC SERVICES, LLC NPI is 1346689221. The provider is registered as an organization entity type.

The provider's business location address is:

1217 STATELINE RD
NILES, MI
ZIP 49120-729
Phone: (269) 684-2668
Fax: (269) 683-8986

The provider's authorized official is Michael Adeniyi .
The authorized official title is Administrator and has the following contact phone number (269) 684-2668.

The enumeration date for this NPI number is 6/24/2013 and was last updated on 6/24/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesAL 110238445MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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