SOUTHWEST AFC LLC NPI 1619417409

NPI Information

NPI: 1619417409
Provider Name: SOUTHWEST AFC LLC
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
212 56TH ST SW
WYOMING, MI
ZIP 49548
Phone: (616) 318-1961
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SOUTHWEST AFC LLC is an adult care home custodial care facility in Wyoming, MI. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. SOUTHWEST AFC LLC NPI is 1619417409. The provider is registered as an organization entity type.

The provider's business location address is:

212 56TH ST SW
WYOMING, MI
ZIP 49548-743
Phone: (616) 318-1961

The provider's authorized official is Debra Krajewski .
The authorized official title is Licensee/designee and has the following contact phone number (616) 318-1961.

The enumeration date for this NPI number is 2/28/2017 and was last updated on 2/28/2017.

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
1	311ZA0620X	Custodial Care Facility	Adult Care Home	AM410285333	MICHIGAN	Yes

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

NPI Synchronization or Removal

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