Provider Demographics
NPI:1093187577
Name:ORCHARD AFC
Entity Type:Organization
Organization Name:ORCHARD AFC
Other - Org Name:ORCHARD CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELLA
Authorized Official - Middle Name:P
Authorized Official - Last Name:HAMM
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:734-512-6294
Mailing Address - Street 1:73 ORCHARD STREET
Mailing Address - Street 2:
Mailing Address - City:ECORSE
Mailing Address - State:MI
Mailing Address - Zip Code:48229
Mailing Address - Country:US
Mailing Address - Phone:734-512-6264
Mailing Address - Fax:313-722-4747
Practice Address - Street 1:73 ORCHARD STREET
Practice Address - Street 2:
Practice Address - City:ECORSE
Practice Address - State:MI
Practice Address - Zip Code:48229
Practice Address - Country:US
Practice Address - Phone:734-512-6294
Practice Address - Fax:313-722-4747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-23
Last Update Date:2015-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home