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FRIENDLY ACRES LLC NPI 1174951644


NPI Information

NPI: 1174951644
Provider Name: FRIENDLY ACRES LLC
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
5710 ISABELLA COUNTY LINE RD
COLEMAN, MI
ZIP 48618
Phone: (989) 621-7366
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FRIENDLY ACRES LLC is an adult care home custodial care facility in Coleman, 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. FRIENDLY ACRES LLC NPI is 1174951644. The provider is registered as an organization entity type.

The provider's business location address is:

5710 ISABELLA COUNTY LINE RD
COLEMAN, MI
ZIP 48618-394
Phone: (989) 621-7366

The provider's authorized official is Marilyn L Wilkie .
The authorized official title is Owner and has the following contact phone number (989) 621-7366.

The enumeration date for this NPI number is 10/21/2013 and was last updated on 10/21/2013.


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
1311ZA0620XCustodial Care FacilityAdult Care HomeAF560085646MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16699030MEDICAIDMICHIGAN

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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