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NPI Code Detail

MEDICARE: MID MICHIGAN COMMUNITY ACTION AGENCY

MEDICARE: MID MICHIGAN COMMUNITY ACTION AGENCY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251V00000XVoluntary or Charitable Agency

General Provider Information

NPI Number : 1417257106
Entity Type Code : Organization
Provider Name (Legal Business Name) : MID MICHIGAN COMMUNITY ACTION AGENCY
Provider Business Mailing Address
First Line : 1521 WASHINGTON ST
Second Line :
City : MIDLAND
State : MI
Zip : 48640-5685
Country : US
Telephone Number : 989-832-7310
Fax Number :
Provider Business Practice Location Address
First Line : 1521 WASHINGTON ST
Second Line :
City : MIDLAND
State : MI
Zip : 48640-5685
Country : US
Telephone Number : 989-832-7310
Fax Number :
Authorized Official
Title or Position : EARLY CHILDHOOD SERVICES DIRECTOR
Name : JOLEEN GOLDEN
Credential :
Telephone Number : 989-832-7310
Provider Enumeration Date : 10/27/2010
Last Update Date : 10/27/2010

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Directions to “MID MICHIGAN COMMUNITY ACTION AGENCY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.