Healthcare Provider Details

I. General information

NPI: 1821500133
Provider Name (Legal Business Name): FIRST PRESBYTERIAN CHURCH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2017
Last Update Date: 10/26/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

495 CHARLES AVE
ALMA MI
48801-1401
US

IV. Provider business mailing address

495 CHARLES AVE
ALMA MI
48801-1401
US

V. Phone/Fax

Practice location:
  • Phone: 989-463-2940
  • Fax: 989-463-2094
Mailing address:
  • Phone: 989-463-2940
  • Fax: 989-463-2094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SHERRI DAWN FLOREZ
Title or Position: PROGRAM COORDINATOR
Credential:
Phone: 616-550-8111