| Organization Name: | CHARLEVOIX SENIOR CITIZENS CENTER, INC |
| NPI Number: | 1427153964 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | F. EARL MUMA (DIRECTOR) |
| Mailing Address: | 6906 Norwood St Charlevoix |
| State: | MI US |
| Postal Code: | 497201672 |
| Phone Number: | 2315475361 |
| Fax Number: | 2312379553 |
| NPI Enumeration Date: | 09/13/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251V00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Voluntary or Charitable |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |