Provider Demographics
NPI:1225469885
Name:ST. PATRICK SENIOR CENTER, INC
Entity Type:Organization
Organization Name:ST. PATRICK SENIOR CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SATRICE
Authorized Official - Middle Name:
Authorized Official - Last Name:COLEMAN-BETTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-833-7080
Mailing Address - Street 1:58 PARSONS ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48201-2002
Mailing Address - Country:US
Mailing Address - Phone:313-833-7080
Mailing Address - Fax:313-833-0128
Practice Address - Street 1:58 PARSONS ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-2002
Practice Address - Country:US
Practice Address - Phone:313-833-7080
Practice Address - Fax:313-833-0128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-09
Last Update Date:2013-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable