Common Contracts

PROVIDER ENROLLMENT AGREEMENT

Provider Enrollment Agreement • October 21st, 2020 • Michigan

• Contract Type
  Provider Enrollment Agreement
• Filed
  October 21st, 2020
• Jurisdiction
  Michigan

THIS AGREEMENT is entered into between and hereinafter referred to as “Provider,” and Region IV Area Agency on Aging, Inc., 2900 Lakeview Avenue, St. Joseph, Michigan 49085, herein referred to as “Area Agency on Aging” or “AAA.”