Provider Demographics
NPI:1720819105
Name:LUTHERAN CHILD AND FAMILY SERVICE OF MICHIGAN
Entity type:Organization
Organization Name:LUTHERAN CHILD AND FAMILY SERVICE OF MICHIGAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:KALBFLEISCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-262-7388
Mailing Address - Street 1:2825 WIENEKE RD
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-2600
Mailing Address - Country:US
Mailing Address - Phone:989-262-7388
Mailing Address - Fax:
Practice Address - Street 1:210 MAYER RD
Practice Address - Street 2:
Practice Address - City:FRANKENMUTH
Practice Address - State:MI
Practice Address - Zip Code:48734-1332
Practice Address - Country:US
Practice Address - Phone:989-652-6212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-08
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home