Organization
GREAT LAKES SENIOR HOMES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE DAVIS LLBSW (OWNER)
(248) 818-3401
Entity
Organization
Contact information
Practice address
6521 RED MAPLE LN, BLOOMFIELD HILLS, MI 48301-3225
(313) 248-3401
Mailing address
6521 RED MAPLE LN, BLOOMFIELD HILLS, MI 48301-3225
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/22/2017
Last updated
08/22/2017
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