Provider Demographics
NPI:1467645200
Name:SAGINAW VALLEY CENTER, INC
Entity Type:Organization
Organization Name:SAGINAW VALLEY CENTER, INC
Other - Org Name:DOT CARING CENTERS, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:DIONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLLENBACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-790-3366
Mailing Address - Street 1:3190 HALLMARK CT
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-2190
Mailing Address - Country:US
Mailing Address - Phone:989-790-3366
Mailing Address - Fax:
Practice Address - Street 1:114 N TUSCOLA RD
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48708-6995
Practice Address - Country:US
Practice Address - Phone:989-790-3366
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-24
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI090051261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center