Provider Demographics
NPI:1477186237
Name:BOARD OF EDUCATION OAKLAND COUNTY
Entity Type:Organization
Organization Name:BOARD OF EDUCATION OAKLAND COUNTY
Other - Org Name:WATERFORD SENIOR CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:ASDELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-682-9450
Mailing Address - Street 1:3621 PONTIAC LAKE RD
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48328-2342
Mailing Address - Country:US
Mailing Address - Phone:249-682-9450
Mailing Address - Fax:248-738-4710
Practice Address - Street 1:3621 PONTIAC LAKE RD
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:MI
Practice Address - Zip Code:48328-2342
Practice Address - Country:US
Practice Address - Phone:249-682-9450
Practice Address - Fax:248-738-4710
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BOARD OF EDUCATION OAKLAND COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-02-19
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care