Organization Name: | RED OAKS AFC LLC |
NPI Number: | 1053742734 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBORAH E STOSIK (ADMINISTRATOR) |
Mailing Address: | 3597 Wheeler Rd Bay City |
State: | MI US |
Postal Code: | 487061712 |
Phone Number: | 9892741391 |
Fax Number: | 9893162085 |
NPI Enumeration Date: | 12/06/2013 |
NPI Last Update Date: | 12/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 311ZA0620X |
License Number: | AMO272455 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Custodial Care Facility |
Taxonomy Specialization: | Adult Care Home |
Taxonomy Definition: | 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. |