# TOWNSHIP OF LONG LAKE

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

## Provider details

- **NPI number:** 1497412886
- **Authorized official:** MS. KIMBERLY KAY DELEON (BILLER)
- **Authorized official phone:** (231) 421-3159

## Contact information

- **Practice address:** 8870 N LONG LAKE RD, TRAVERSE CITY, MI 49685-9622
- **Practice address phone:** (231) 946-2249
- **Mailing address:** 8870 N LONG LAKE RD, TRAVERSE CITY, MI 49685-9622
- **Mailing address phone:** (231) 946-2249

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 11/21/2021
- **Last updated:** 04/08/2022