Provider Demographics
NPI:1427153964
Name:CHARLEVOIX SENIOR CITIZENS CENTER, INC
Entity type:Organization
Organization Name:CHARLEVOIX SENIOR CITIZENS CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:F.
Authorized Official - Middle Name:EARL
Authorized Official - Last Name:MUMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:231-547-5361
Mailing Address - Street 1:6906 NORWOOD ST
Mailing Address - Street 2:
Mailing Address - City:CHARLEVOIX
Mailing Address - State:MI
Mailing Address - Zip Code:49720-1672
Mailing Address - Country:US
Mailing Address - Phone:231-547-5361
Mailing Address - Fax:231-237-9553
Practice Address - Street 1:6906 NORWOOD ST
Practice Address - Street 2:
Practice Address - City:CHARLEVOIX
Practice Address - State:MI
Practice Address - Zip Code:49720-1672
Practice Address - Country:US
Practice Address - Phone:231-547-5361
Practice Address - Fax:231-237-9553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable