Provider Demographics
NPI:1770680167
Name:SHELTER ASSOCIATION OF WASHTENAW
Entity Type:Organization
Organization Name:SHELTER ASSOCIATION OF WASHTENAW
Other - Org Name:SHELTER ASSOCIATION OF WASHTENAW COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FISCAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:WILT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-662-2829
Mailing Address - Street 1:PO BOX 7370
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48107-7370
Mailing Address - Country:US
Mailing Address - Phone:734-662-2829
Mailing Address - Fax:734-996-3022
Practice Address - Street 1:312 W HURON ST
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-4204
Practice Address - Country:US
Practice Address - Phone:734-662-2829
Practice Address - Fax:734-996-3022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable