# THE ARC SHIAWASSEE COUNTY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083127880
- **Authorized official:** LYNN KOVALIK GRUBB (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (989) 723-7377

## Contact information

- **Practice address:** 1905 WEST M-21, OWOSSO, MI 48867
- **Practice address phone:** (989) 723-7377
- **Practice address fax:** (989) 725-6113
- **Mailing address:** PO BOX 63, 1905 WEST M-21, OWOSSO, MI 48867
- **Mailing address phone:** (989) 723-7377
- **Mailing address fax:** (989) 725-6113

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | — | NULL | Yes |
| 385HR2050X | Respite Care Camp | — | NULL | — |

## Other

- **Enumeration date:** 11/15/2017
- **Last updated:** 11/15/2017