# ROSCOMMON COUNTY COMMISSION ON AGING

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

## Provider details

- **NPI number:** 1437901501
- **Authorized official:** MRS. DEBRA LOONEY (DIRECTOR)
- **Authorized official phone:** (989) 366-0205

## Contact information

- **Practice address:** 1015 SHORT DR STE A, PRUDENVILLE, MI 48651-8450
- **Practice address phone:** (989) 366-0205
- **Practice address fax:** (989) 366-0136
- **Mailing address:** 1015 SHORT DR STE A, PRUDENVILLE, MI 48651-8450
- **Mailing address phone:** (989) 366-0205
- **Mailing address fax:** (989) 366-0136

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 261QA0600X | Adult Day Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 04/03/2024
- **Last updated:** 09/12/2024