Provider Demographics
NPI:1821500133
Name:FIRST PRESBYTERIAN CHURCH
Entity Type:Organization
Organization Name:FIRST PRESBYTERIAN CHURCH
Other - Org Name:GOOD COMPANY ADULT DAY PROGRAM
Other - Org Type:Other Name
Authorized Official - Title/Position:PROGRAM COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHERRI
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:FLOREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-550-8111
Mailing Address - Street 1:495 CHARLES AVE
Mailing Address - Street 2:
Mailing Address - City:ALMA
Mailing Address - State:MI
Mailing Address - Zip Code:48801-1401
Mailing Address - Country:US
Mailing Address - Phone:989-463-2940
Mailing Address - Fax:989-463-2094
Practice Address - Street 1:495 CHARLES AVE
Practice Address - Street 2:
Practice Address - City:ALMA
Practice Address - State:MI
Practice Address - Zip Code:48801-1401
Practice Address - Country:US
Practice Address - Phone:989-463-2940
Practice Address - Fax:989-463-2094
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FIRST PRESBYTERIAN CHURCH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-10-26
Last Update Date:2017-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care