Organization
ST. ANN'S LAKE COUNTY SENIOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY ANN SHAFER (DIRECTOR)
(231) 745-7201
Entity
Organization
Contact information
Practice address
690 E 9TH ST, BALDWIN, MI 49304-7557
(231) 745-7202
(231) 745-3656
Mailing address
PO BOX 40, BALDWIN, MI 49304-0040
(231) 745-7201
(231) 745-3656
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
Primary
—
—
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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