# CHARLEVOIX COUNTY COA

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

## Provider details

- **NPI number:** 1427273572
- **Authorized official:** MRS. SUSAN R BERGMANN RNBSN (DIRECTOR)
- **Authorized official phone:** (231) 237-0103

## Contact information

- **Practice address:** 207 W ANTRIM ST, CHARLEVOIX, MI 49720-1389
- **Practice address phone:** (231) 237-0103
- **Practice address fax:** (231) 237-0105
- **Mailing address:** 207 W ANTRIM ST, CHARLEVOIX, MI 49720-1389
- **Mailing address phone:** (231) 237-0103
- **Mailing address fax:** (231) 237-0105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/16/2007
- **Last updated:** 08/22/2020