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Gratiot County Commission On Aging

In Home Supportive Care in Ithaca, MI. Organization (NPI-2).

NPI number1376971671
StatusActive
Last updated in NPPESOct 23, 2013

Details

NPI
1376971671
Entity type
Organization (NPI-2)
Legal business name
Gratiot County Commission On Aging
Organization subpart
Yes
Enumeration date
Oct 23, 2013
Last updated
Oct 23, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Practice location

515 S Pine River St
Ithaca, MI 48847-1743

Phone 989-875-5246 · Fax 989-875-5281

Mailing address

515 S Pine River St
Ithaca, MI 48847-1743

Phone 989-875-5246 · Fax 989-875-5281

Authorized official

Craig Lee Zeese
Director
9898755246

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