Provider Demographics
NPI:1114011673
Name:LEELANAU COUNTY
Entity type:Organization
Organization Name:LEELANAU COUNTY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHAIR, LCBOC
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:HAWLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:231-256-9711
Mailing Address - Street 1:7401 E. DUCK LAKE RD
Mailing Address - Street 2:
Mailing Address - City:LAKE LEELANAU
Mailing Address - State:MI
Mailing Address - Zip Code:49653
Mailing Address - Country:US
Mailing Address - Phone:231-256-7590
Mailing Address - Fax:231-256-2430
Practice Address - Street 1:7401 E. DUCK LAKE RD
Practice Address - Street 2:
Practice Address - City:LAKE LEELANAU
Practice Address - State:MI
Practice Address - Zip Code:49653
Practice Address - Country:US
Practice Address - Phone:231-256-7590
Practice Address - Fax:231-256-2430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management