Provider Demographics
NPI:1760172092
Name:ALPENA AREA SENIOR CITIZENS COUNCIL INC
Entity Type:Organization
Organization Name:ALPENA AREA SENIOR CITIZENS COUNCIL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:HEPBURN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-356-3585
Mailing Address - Street 1:501 RIVER ST
Mailing Address - Street 2:
Mailing Address - City:ALPENA
Mailing Address - State:MI
Mailing Address - Zip Code:49707-2436
Mailing Address - Country:US
Mailing Address - Phone:989-356-3585
Mailing Address - Fax:
Practice Address - Street 1:501 RIVER ST
Practice Address - Street 2:
Practice Address - City:ALPENA
Practice Address - State:MI
Practice Address - Zip Code:49707-2436
Practice Address - Country:US
Practice Address - Phone:989-356-3585
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-10
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals