NPI 1245322494
Gratiot Isabella Resd
Practice location
- Address
- 1131 E. Center St., Ithaca, MI 48847-0310
- Phone
- (989) 875-5101
- Fax
- (989) 875-2858
- Mailing address
- 1131 E. Center St., P.O. Box 310, Ithaca, MI 48847-0310
Authorised official
- Name
- Michael Matlosz
- Title
- Superintendent
- Phone
- (989) 875-5101
Registered specialties
Local Education Agency (LEA)
Primary
Registry record
- NPI
- 1245322494
- Entity type
- Organization
- NPI issued
- 28 Sep 2006
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.