# SENIOR HOMECARE OF SW MICHIGAN, LLC

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

## Provider details

- **NPI number:** 1316466600
- **Authorized official:** SHARON GEORGE (OWNER/MEMBER)
- **Authorized official phone:** (269) 668-2355

## Contact information

- **Practice address:** 24144 44TH AVE., MATTAWAN, MI 49071-8794
- **Practice address phone:** (269) 668-2355
- **Mailing address:** 24144 44TH AVE, MATTAWAN, MI 49071-8794
- **Mailing address phone:** (269) 668-2355

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 374U00000X | Home Health Aide | — | NULL | — |
| 374U00000X | Home Health Aide | — | — | — |
| 376J00000X | Homemaker | — | NULL | — |
| 376J00000X | Homemaker | — | — | — |

## Other

- **Enumeration date:** 09/18/2017
- **Last updated:** 07/21/2022