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General NPI Number Information
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NPI Number | 1730013038
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Entity Type | Organization
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Legal Business Name | COUNTRY HOUSE AFC
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Dates
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Enumeration Date | 06/11/2026
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Last Update Date | 06/11/2026
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Provider Practice Location Address
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Address Line | 1977 N KOHLER RD
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City | TRUFANT
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State | MI
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Zip | 49347-9715
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Country | US
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Telephone | 231-349-1016
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Fax |
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Provider Business Mailing Address
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Address Line | 1977 N KOHLER RD
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City | TRUFANT
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State | MI
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Zip | 49347-9715
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Country | US
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Telephone | 231-349-1016
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARIANNE SCHWANDT
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Credential | SCHWANDT
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Telephone | 231-349-1016
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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