Organization
MANAGED SENIOR CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANNA GOMEZ (CO-OWNER)
(616) 234-0190
Entity
Organization
Contact information
Practice address
625 SPRING AVE NE, GRAND RAPIDS, MI 49503-1903
(616) 234-0190
(866) 289-0994
Mailing address
PO BOX 140288, GRAND RAPIDS, MI 49514-0288
(616) 234-0190
(866) 289-0994
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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