Provider Demographics
NPI:1700385994
Name:TOWNSHIP OF PARADISE
Entity Type:Organization
Organization Name:TOWNSHIP OF PARADISE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:SOMSEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:231-276-9354
Mailing Address - Street 1:2300 E M 113
Mailing Address - Street 2:
Mailing Address - City:KINGSLEY
Mailing Address - State:MI
Mailing Address - Zip Code:49649-9370
Mailing Address - Country:US
Mailing Address - Phone:231-263-5251
Mailing Address - Fax:
Practice Address - Street 1:2300 E M 113
Practice Address - Street 2:
Practice Address - City:KINGSLEY
Practice Address - State:MI
Practice Address - Zip Code:49649-9370
Practice Address - Country:US
Practice Address - Phone:231-263-5251
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-02
Last Update Date:2018-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport