Provider Demographics
NPI:1972939809
Name:NORTHWEST MICHIGAN COMMUNITY ACTION AGENCY
Entity Type:Organization
Organization Name:NORTHWEST MICHIGAN COMMUNITY ACTION AGENCY
Other - Org Name:MEALS ON WHEELS OF NORTHWEST MICHIGAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SENIOR NUTRITION MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:BOHN
Authorized Official - Last Name:ROBITSHEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:231-947-3780
Mailing Address - Street 1:3963 3 MILE RD N
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49686-9164
Mailing Address - Country:US
Mailing Address - Phone:231-947-3780
Mailing Address - Fax:231-947-4469
Practice Address - Street 1:3963 3 MILE RD N
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49686-9164
Practice Address - Country:US
Practice Address - Phone:231-947-3780
Practice Address - Fax:231-947-4469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-24
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals