NPI 1164194403
SE Michigan Senior Services LLC
Practice location
- Address
- 1915 Baldwin Ave, Pontiac, MI 48340-1173
- Phone
- (248) 335-7020
- Fax
- (248) 335-0141
- Mailing address
- 6905 Telegraph Rd STE 360, Bloomfield Hills, MI 48301-3189
Authorised official
- Name
- Jillian J Tisch
- Title
- Authorized Personnel
- Phone
- (248) 545-0707
Registered specialties (2)
Home Delivered Meals
Primary
Homemaker
Registry record
- NPI
- 1164194403
- Entity type
- Organization
- NPI issued
- 5 Oct 2021
- Record last updated
- 18 Oct 2021
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.