NPI 1699529586
St. Ann's Lake County Senior
Practice location
- Address
- 690 E 9th St, Baldwin, MI 49304-7557
- Phone
- (231) 745-7202
- Fax
- (231) 745-3656
- Mailing address
- PO Box 40, Baldwin, MI 49304-0040
Authorised official
- Name
- Shelly Ann Shafer
- Title
- Director
- Phone
- (231) 745-7201
Registered specialties
Meals Provider
Primary
Registry record
- NPI
- 1699529586
- Entity type
- Organization
- NPI issued
- 16 Apr 2024
- Record last updated
- 16 Apr 2024
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.