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Organization

REGION VII AREA AGENCY ON AGING INC

Active
Other names
Sunrise PACE
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DAYNA ALTOM (CHIEF EXECUTIVE OFFICER)
(989) 893-4506
Entity
Organization

Contact information

Practice address
5229 LAKESHORE ROAD, FORT GRATIOT, MI 48059
(810) 388-6300
(810) 388-6305
Mailing address
1615 S EUCLID AVE, BAY CITY, MI 48706-3319
(989) 893-4506
(989) 893-4506

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
251B00000X
Case Management Agency
MI
251T00000X
PACE Provider Organization
Primary
261Q00000X
Clinic/Center
333600000X
Pharmacy
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4508917
MI
01
4509404
TARGETED CARE MANAGEMENT
MI
Enumeration date
09/26/2006
Last updated
03/06/2026
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