Provider Demographics
NPI:1275961724
Name:CLARE COUNTY
Entity Type:Organization
Organization Name:CLARE COUNTY
Other - Org Name:CLARE COUNTY SENIOR SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BOARD CHAIRMAN
Authorized Official - Prefix:MR
Authorized Official - First Name:JIM
Authorized Official - Middle Name:
Authorized Official - Last Name:GELIOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-539-2510
Mailing Address - Street 1:225 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:MI
Mailing Address - Zip Code:48625-8336
Mailing Address - Country:US
Mailing Address - Phone:989-539-2510
Mailing Address - Fax:
Practice Address - Street 1:225 W MAIN ST
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:MI
Practice Address - Zip Code:48625-8336
Practice Address - Country:US
Practice Address - Phone:989-539-2510
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-21
Last Update Date:2013-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management