Organization
ROSCOMMON COUNTY COMMISSION ON AGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA LOONEY (DIRECTOR)
(989) 366-0205
Entity
Organization
Contact information
Practice address
1015 SHORT DR STE A, PRUDENVILLE, MI 48651-8450
(989) 366-0205
(989) 366-0136
Mailing address
1015 SHORT DR STE A, PRUDENVILLE, MI 48651-8450
(989) 366-0205
(989) 366-0136
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
Other
Enumeration date
04/03/2024
Last updated
09/12/2024
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