# ACCORDIA SENIOR SERVICES

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

## Provider details

- **NPI number:** 1457996449
- **Authorized official:** MS. JACQUELINE MARTIN-EDWARD RN, CCM (PRESIDENT)
- **Authorized official phone:** (248) 907-3393

## Contact information

- **Practice address:** 20027 BURGESS, DETROIT, MI 48219-1367
- **Practice address phone:** (248) 907-3393
- **Mailing address:** 22503 GRAND RIVER AVE UNIT 19516, DETROIT, MI 48219-5025
- **Mailing address phone:** (248) 907-3393

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 163WC0400X | Case Management Registered Nurse | — | NULL | — |
| 163WC0400X | Case Management Registered Nurse | — | — | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 372500000X | Chore Provider | — | NULL | — |

## Other

- **Enumeration date:** 11/13/2019
- **Last updated:** 03/26/2024
