Provider Demographics
NPI:1922291186
Name:JUST LIKE HOME AFC LLC
Entity Type:Organization
Organization Name:JUST LIKE HOME AFC LLC
Other - Org Name:JUST LIKE HOME AFC LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:MCLEAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA,LLP
Authorized Official - Phone:269-381-9036
Mailing Address - Street 1:4601 WINDING WAY
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49006-1040
Mailing Address - Country:US
Mailing Address - Phone:269-381-9036
Mailing Address - Fax:269-381-3877
Practice Address - Street 1:4601 WINDING WAY
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49006-1040
Practice Address - Country:US
Practice Address - Phone:269-381-9036
Practice Address - Fax:269-381-3877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-21
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAF390265846251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health