Organization
DICKINSON IRON COMMUNITY SERVICES AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN SOMMERFELD (EXECUTIVE DIRECTOR)
(906) 774-2256
Entity
Organization
Contact information
Practice address
1238 CARPENTER AVE, IRON MOUNTAIN, MI 49801-4724
(906) 774-2256
(906) 774-2257
Mailing address
1238 CARPENTER AVE, IRON MOUNTAIN, MI 49801-4724
(906) 774-2256
(906) 774-2257
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
04/18/2007
Last updated
06/08/2022
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