Provider Demographics
NPI:1427802479
Name:MASON COUNTY SENIOR MEALS ON WHEELS
Entity type:Organization
Organization Name:MASON COUNTY SENIOR MEALS ON WHEELS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NUTRITION COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:LOIS
Authorized Official - Middle Name:
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:231-757-4831
Mailing Address - Street 1:300 W BROADWAY AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTTVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49454-1019
Mailing Address - Country:US
Mailing Address - Phone:231-757-4831
Mailing Address - Fax:
Practice Address - Street 1:300 W BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:SCOTTVILLE
Practice Address - State:MI
Practice Address - Zip Code:49454-1019
Practice Address - Country:US
Practice Address - Phone:231-757-4831
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MASON COUNTY CENTRAL SCHOOLS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174200000XOther Service ProvidersMeals
No251300000XAgenciesLocal Education Agency (LEA)