Provider Demographics
NPI:1639755705
Name:THE DIGNIFIED AGING PROJECT LLC
Entity type:Organization
Organization Name:THE DIGNIFIED AGING PROJECT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:R
Authorized Official - Last Name:POPE
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:517-488-3311
Mailing Address - Street 1:1125 BEMENT ST
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48912-1703
Mailing Address - Country:US
Mailing Address - Phone:517-488-3311
Mailing Address - Fax:517-659-6119
Practice Address - Street 1:1125 BEMENT ST
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912-1703
Practice Address - Country:US
Practice Address - Phone:517-488-3311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-19
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health Worker
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No302R00000XManaged Care OrganizationsHealth Maintenance OrganizationGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty
No251J00000XAgenciesNursing Care
No310400000XNursing & Custodial Care FacilitiesAssisted Living FacilityGroup - Multi-Specialty