Koni'S Afc Home
Assisted Living Facility, Assisted Living, Mental Illness in Pontiac, MI. Organization (NPI-2).
NPI number1033095237
StatusActive
Last updated in NPPESAug 18, 2025
Details
- NPI
- 1033095237
- Entity type
- Organization (NPI-2)
- Legal business name
- Koni'S Afc Home
- Organization subpart
- No
- Enumeration date
- Aug 13, 2025
- Certification date
- Aug 18, 2025
- Last updated
- Aug 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3104A0625X | Assisted Living Facility, Assisted Living, Mental Illness | – | – | Yes |
Practice location
369 Voorheis StPontiac, MI 48341-1949
Phone 248-396-2973
Mailing address
369 Voorheis StPontiac, MI 48341-1949
Authorized official
Roza Tesfaye
Manager
2483962973
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