Rocking Horse Ranch Afc Home

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1689814063

Rocking Horse Ranch Afc Home is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Fruitport, Michigan. Licensed in Michigan. Registered with an NPI since 2009.

Licensed in: MI
In the registry since: 2009

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Practice location Address checks out

19138 144th Ave
Fruitport, MI 49415-9670
Phone: (616) 846-6593

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary)	Taxonomy 320600000X · Licence AF700237485 (MI)

Record details

NPI number	1689814063
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Moonyeen Lincoln — Owner · (616) 846-6593
NPI enumerated	February 25, 2009
Last updated in NPPES	February 25, 2009
Mailing address	19138 144th Ave, Fruitport, MI 49415-9670