# SENIORS PLUS CASE MANAGEMENT MENTORING AND DEVELOPMENT CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265027239
- **Authorized official:** MS. TAQUILLA RENE TRAMMELL OWNER/ PRESIDENT (OWNER/ PRESIDENT)
- **Authorized official phone:** (818) 791-6916

## Contact information

- **Practice address:** 5236 S CLARENDON ST, DETROIT, MI 48204-2921
- **Practice address phone:** (248) 904-4867
- **Mailing address:** 5236 S CLARENDON ST, DETROIT, MI 48204-2921
- **Mailing address phone:** (818) 791-6916

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/02/2021
- **Last updated:** 03/02/2021