Area Agency On Aging Of Western Michigan Inc.

NPI 1174965115 - Case Management - 251B00000X

NPI Details
NPI 1174965115
Enumeration Date 07/18/2013
Last Updated 02/26/2015
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name THOMAS EDWARD THOMAS
Position EXECUTIVE DIRECTOR
Phone (616) 456-5664
Fax (616) 456-5692
Practice Location
3215 EAGLE CREST DR NE
GRAND RAPIDS MI, 49525-7005, US
Phone (616) 456-5664
Fax (616) 456-5692
Business Location
3215 EAGLE CREST DR NE
GRAND RAPIDS MI, 49525-7005, US
Phone (616) 456-5664
Fax (616) 456-5692
Toxanomy
Taxonomy Code 251B00000X
License State Michigan
License Number 874121
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According to our database, Area Agency On Aging Of Western Michigan Inc. NPI is 1174965115, taxonomy code is 251B00000X and license number is 874121, license state is located at Michigan. Area Agency On Aging Of Western Michigan Inc. physically located at 3215 Eagle Crest Dr Ne, Grand Rapids MI, 49525-7005. NPI Number 1033115704 has the healthcare provider type.

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1174965115 NPI number is provided on an as is basis without warranty of any kind. 1174965115 is maintained by the National Plan & Provider Enumeration System. The contents of Area Agency On Aging Of Western Michigan Inc. are for informational purposes only.