Organization
WEXFORD COUNTY COUNCIL ON AGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAM B BLEVINS (EXECUTIVE DIRECTOR NON-PROFIT 5013)
(231) 775-0133
Entity
Organization
Contact information
Practice address
714 W. 13TH ST., CADILLAC, MI 49601-9618
(231) 775-0133
(231) 775-9833
Mailing address
117 W. CASS STREET, CADILLAC, ID 49601
(231) 775-0133
(231) 775-9833
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
374U00000X
Home Health Aide
—
MI
Other
Enumeration date
10/02/2006
Last updated
03/30/2023
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