Healthcare Provider Details

I. General information

NPI: 1184849911
Provider Name (Legal Business Name): BAY COUNTY CHILD & SENIOR CITIZEN CENTERS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2007
Last Update Date: 10/04/2022
Certification Date: 10/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 MARSAC STREET
BAY CITY MI
48708-7863
US

IV. Provider business mailing address

1001 MARSAC STREET
BAY CITY MI
48708-7863
US

V. Phone/Fax

Practice location:
  • Phone: 989-892-6644
  • Fax: 989-892-2075
Mailing address:
  • Phone: 989-892-6644
  • Fax: 989-892-2075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. PEGGY CONDON-WATSON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 989-892-1588