Provider Demographics
NPI:1033486287
Name:ARC OF CENTRAL MICHIGAN
Entity Type:Organization
Organization Name:ARC OF CENTRAL MICHIGAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNE MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KOELBEL
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:989-773-8765
Mailing Address - Street 1:PO BOX 171
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48804-0171
Mailing Address - Country:US
Mailing Address - Phone:989-773-8765
Mailing Address - Fax:989-953-7005
Practice Address - Street 1:2426 PARKWAY DR
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48858-4723
Practice Address - Country:US
Practice Address - Phone:989-773-8765
Practice Address - Fax:989-953-7005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-16
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable