Healthcare Provider Details

I. General information

NPI: 1841388972
Provider Name (Legal Business Name): FALCO CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

427 DAVIS ST
ALLEGAN MI
49010-1006
US

IV. Provider business mailing address

350 E MICHIGAN AVE SUITE 425
KALAMAZOO MI
49007-3800
US

V. Phone/Fax

Practice location:
  • Phone: 269-673-2488
  • Fax: 269-686-0525
Mailing address:
  • Phone: 269-342-8766
  • Fax: 269-342-0452

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number StateMI

VIII. Authorized Official

Name: THERESA M RHODA
Title or Position: ADMINISTRATIVE ASSISTANT
Credential:
Phone: 269-342-8766