Provider Demographics
NPI:1831311091
Name:COMMUINTY ACTION AGENCY
Entity Type:Organization
Organization Name:COMMUINTY ACTION AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LENAWEE COUNTY DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BURT
Authorized Official - Middle Name:ANSON
Authorized Official - Last Name:FENBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-263-7861
Mailing Address - Street 1:400 W SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:ADRIAN
Mailing Address - State:MI
Mailing Address - Zip Code:49221-3825
Mailing Address - Country:US
Mailing Address - Phone:517-263-7861
Mailing Address - Fax:517-263-6531
Practice Address - Street 1:400 W SOUTH ST
Practice Address - Street 2:
Practice Address - City:ADRIAN
Practice Address - State:MI
Practice Address - Zip Code:49221-3825
Practice Address - Country:US
Practice Address - Phone:517-263-7861
Practice Address - Fax:517-263-6531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable