Provider Demographics
NPI:1841388972
Name:FALCO CORPORATION
Entity Type:Organization
Organization Name:FALCO CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:M
Authorized Official - Last Name:RHODA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-342-8766
Mailing Address - Street 1:350 E MICHIGAN AVE
Mailing Address - Street 2:SUITE 425
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49007-3800
Mailing Address - Country:US
Mailing Address - Phone:269-342-8766
Mailing Address - Fax:269-342-0452
Practice Address - Street 1:427 DAVIS ST
Practice Address - Street 2:
Practice Address - City:ALLEGAN
Practice Address - State:MI
Practice Address - Zip Code:49010-1006
Practice Address - Country:US
Practice Address - Phone:269-673-2488
Practice Address - Fax:269-686-0525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities