# DEPARTMENT OF HUMAN SERVICES

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

## Provider details

- **NPI number:** 1699164244
- **Authorized official:** MRS. DONNA AHLBERG (SUPERVISOR)
- **Authorized official phone:** (906) 399-9219

## Contact information

- **Practice address:** 203 MAPLE ST, AMASA, MI 49903-0031
- **Practice address phone:** (906) 203-9154
- **Mailing address:** PO BOX 31, AMASA, MI 49903-0031
- **Mailing address phone:** (906) 203-9154

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 0141620 | MI | Yes |

## Other

- **Enumeration date:** 01/21/2015
- **Last updated:** 01/21/2015