# SENIOR HOME HEALTH CARE INC

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

## Provider details

- **NPI number:** 1588645980
- **Authorized official:** MR. THOMAS G HALLER (PRESIDENT)
- **Authorized official phone:** (248) 363-7575

## Contact information

- **Practice address:** 4204 MARTIN RD, SUITE E, COMMERCE TOWNSHIP, MI 48390-4135
- **Practice address phone:** (248) 363-7575
- **Practice address fax:** (248) 363-9214
- **Mailing address:** 4204 MARTIN RD, SUITE E, COMMERCE TOWNSHIP, MI 48390-4135
- **Mailing address phone:** (248) 363-7575
- **Mailing address fax:** (248) 363-9214

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | MI | Yes |

## Other

- **Enumeration date:** 11/11/2005
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2684844 | — | MI |
| 01 | — | 54OF30711 | BLUE CROSS BLUE SHIELD MI | MI |
