Organization
REGION IV AREA AGENCY ON AGING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE VANLANDINGHAM (CEO)
(269) 985-0103
Entity
Organization
Contact information
Practice address
2900 LAKEVIEW AVE, SAINT JOSEPH, MI 49085-2379
(269) 983-0177
Mailing address
2900 LAKEVIEW AVE, SAINT JOSEPH, MI 49085-2379
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4508944
—
MI
05
—
4509342
—
MI
Enumeration date
11/06/2024
Last updated
12/10/2024
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