OrganizationActive
Department of Health and Human Services
NPI 1003298191 · Point of Service · Lansing, MI
Provider details
- NPI number
- 1003298191
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Nicole Ruggenbuck, Social Worker(517) 887-9712
- License
- T326398630047 (MI)
Specialties & taxonomies
Managed Care Organizations
Practice location
5330 W Michigan Ave
Apt 102
Lansing, MI 48917-3364
Phone: (517) 219-3334
Approximate (ZIP-level) locationGet directions
Mailing address
5330 W Michigan Ave
Lansing, MI 48917-3364
Registry dates
- Enumerated
- 2015-06-24
- Last updated
- 2015-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.