Provider Demographics
NPI:1255907952
Name:MANISTEE COUNTY COUNCIL ON AGING
Entity type:Organization
Organization Name:MANISTEE COUNTY COUNCIL ON AGING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:231-723-6477
Mailing Address - Street 1:260 SAINT MARYS PKWY
Mailing Address - Street 2:
Mailing Address - City:MANISTEE
Mailing Address - State:MI
Mailing Address - Zip Code:49660-2622
Mailing Address - Country:US
Mailing Address - Phone:231-723-6477
Mailing Address - Fax:
Practice Address - Street 1:260 SAINT MARYS PKWY
Practice Address - Street 2:
Practice Address - City:MANISTEE
Practice Address - State:MI
Practice Address - Zip Code:49660-2622
Practice Address - Country:US
Practice Address - Phone:231-723-6477
Practice Address - Fax:231-887-4280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-02
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health