Provider Demographics
NPI:1275922007
Name:A&D CHARITABLE FOUNDATION, INC
Entity Type:Organization
Organization Name:A&D CHARITABLE FOUNDATION, INC
Other - Org Name:GREAT LAKES PACE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JEFFREY
Authorized Official - Last Name:ARGYLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:989-233-0246
Mailing Address - Street 1:3150 ENTERPRISE DR
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-2310
Mailing Address - Country:US
Mailing Address - Phone:989-249-0929
Mailing Address - Fax:989-249-0212
Practice Address - Street 1:3378 FASHION SQUARE BLVD
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48603-2448
Practice Address - Country:US
Practice Address - Phone:989-272-7610
Practice Address - Fax:989-249-0212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-16
Last Update Date:2015-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization