# REGION IV AREA AGENCY ON AGING, INC

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

## Provider details

- **NPI number:** 1366524985
- **Authorized official:** CHRISTINE VANLANDINGHAM (CEO)
- **Authorized official phone:** (269) 983-0177

## Contact information

- **Practice address:** 2900 LAKEVIEW AVE, SAINT JOSEPH, MI 49085-2379
- **Practice address phone:** (269) 983-0177
- **Mailing address:** 2900 LAKEVIEW AVE, SAINT JOSEPH, MI 49085-2379
- **Mailing address phone:** (269) 983-0177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 10/20/2006
- **Last updated:** 07/19/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4508944 | — | MI |
| 05 | — | 4509342 | — | MI |