Provider Demographics
NPI:1437588951
Name:ISABELLA COUNTY
Entity Type:Organization
Organization Name:ISABELLA COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMEN
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-772-0911
Mailing Address - Street 1:200 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48858-2390
Mailing Address - Country:US
Mailing Address - Phone:989-772-0911
Mailing Address - Fax:989-773-7431
Practice Address - Street 1:200 N. MAIN ST.
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48858
Practice Address - Country:US
Practice Address - Phone:989-772-0911
Practice Address - Fax:989-773-7431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-05
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care