# JACKSON COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JACKSON COUNTY
- **Other names:** Jackson County Department on Aging
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1508193046
- **Legal business name:** JACKSON COUNTY
- **Authorized official:** MARCE O WANDELL (DIRECTOR)
- **Authorized official phone:** (517) 788-4364

## Contact information

- **Practice address:** 1715 LANSING AVE, SUITE 672, JACKSON, MI 49202-2192
- **Practice address phone:** (517) 788-4364
- **Practice address fax:** (517) 780-4739
- **Mailing address:** 1715 LANSING AVE, SUITE 672, JACKSON, MI 49202-2192
- **Mailing address phone:** (517) 788-4364
- **Mailing address fax:** (517) 780-4739

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/04/2009
- **Last updated:** 01/12/2011