OrganizationActive
Blessed Home Afc Services, LLC
NPI 1346689221 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Niles, MI
Provider details
- NPI number
- 1346689221
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Michael Adeniyi, Administrator(269) 684-2668
- License
- AL 110238445 (MI)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense AL 110238445 (MI)
Residential Treatment Facilities
Practice location
1217 Stateline Rd
Niles, MI 49120-4729
Phone: (269) 684-2668
Fax: (269) 683-8986
Approximate (ZIP-level) locationGet directions
Mailing address
1217 Stateline Rd
Niles, MI 49120-4729
Registry dates
- Enumerated
- 2013-06-24
- Last updated
- 2013-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.