St. Ann's Lake County Senior

NPI #1699529586 in Baldwin, Michigan

Provider Information

NPI Number: 1699529586
Entity Type: Organization
Organization Name: St. Ann's Lake County Senior
Primary Specialty: Meals
Enumeration Date: Apr 16, 2024
Last Updated: Apr 16, 2024

Practice Location

Address: 690 E 9TH ST
City: Baldwin
State: Michigan
ZIP Code: 49304-7557
Phone: (231) 745-7202

Authorized Official

Name: SHELLY ANN SHAFER
Title: DIRECTOR
Phone: (231) 745-7201

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Meals	174200000X	Primary

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