# ORDISH SIP HOME LLC

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

## Provider details

- **NPI number:** 1831863554
- **Authorized official:** SANTA DICKENDESCHER (OWNER)
- **Authorized official phone:** (810) 837-0894

## Contact information

- **Practice address:** 1975 E SANILAC RD, CARSONVILLE, MI 48419-9137
- **Practice address phone:** (810) 837-0894
- **Mailing address:** 1975 E SANILAC RD, CARSONVILLE, MI 48419-9137

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/05/2021
- **Last updated:** 01/11/2023