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Organization
SENIOR HOME HEALTH CARE INC
Active
Organization
SENIOR HOME HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS HALLER (PRESIDENT)
(800) 736-9149
Entity
Organization
Contact information
Practice address
4204 MARTIN RD, SUITE E, COMMERCE TOWNSHIP, MI 48390-4135
(800) 736-9149
(800) 233-0933
Mailing address
4204 MARTIN RD, SUITE E, COMMERCE TOWNSHIP, MI 48390-4135
(800) 736-9149
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
MI
333600000X
Pharmacy
5301006777
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2365915
NCPDP
MI
05
—
2365915
—
MI
01
—
OF30711
BLUE CROSS BLUE SHIELD
MI
Enumeration date
01/20/2006
Last updated
07/21/2022
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