Organization Name: | GROSS ADULT FOSTER CARE INC |
NPI Number: | 1447526769 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHERIA GROSS (ADMINISTRATOR) |
Mailing Address: | 5286 E Vienna Rd Clio |
State: | MI US |
Postal Code: | 484209770 |
Phone Number: | 8106911459 |
Fax Number: | 8106872596 |
NPI Enumeration Date: | 03/30/2012 |
NPI Last Update Date: | 03/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 311ZA0620X |
License Number: | AS250278254 |
Healthcare Provider Taxonomy: (Secondary) | N |
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. |