Organization Name: | KALKASKA COUNTY COMMISSION ON AGING |
NPI Number: | 1801090113 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GAY ROWELL (DIRECTOR) |
Mailing Address: | 303 S. Coral St Kalkaska |
State: | MI US |
Postal Code: | 496460028 |
Phone Number: | 2312585030 |
Fax Number: | |
NPI Enumeration Date: | 06/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |