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Organization

LUTHERAN CHILD AND FAMILY SERVICE OF MICHIGAN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JANINE A JANKOWSKI (ACCOUNTING CLERK)
(989) 686-7650
Entity
Organization

Contact information

Practice address
6019 WESTSIDE SAGINAW RD, BAY CITY, MI 48706-9357
(989) 686-7650
(989) 686-7688
Mailing address
6019 WESTSIDE SAGINAW RD, P.O. BOX 48, BAY CITY, MI 48706-9357
(989) 686-7650
(989) 686-7688

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4422590
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2931909
MI
05
3270805
MI
05
4422590
MI
05
4587821
MI
05
4611177
MI
Enumeration date
09/30/2005
Last updated
11/02/2007
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