Provider Demographics
NPI:1487098646
Name:VOLUNTEERS OF AMERICA MICHIGAN
Entity type:Organization
Organization Name:VOLUNTEERS OF AMERICA MICHIGAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR MANAGER OF SOCIAL SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:NYSTROM
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:248-971-4328
Mailing Address - Street 1:430 N LARCH ST
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48912-1208
Mailing Address - Country:US
Mailing Address - Phone:517-484-4414
Mailing Address - Fax:517-484-5353
Practice Address - Street 1:430 N. LARCH ST.
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912
Practice Address - Country:US
Practice Address - Phone:517-484-4414
Practice Address - Fax:517-484-5353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-18
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care