Organization
SE MICHIGAN SENIOR SERVICES LLC
Active
Other names
Baldwin House Lakeside I, Lakeside II & Oakland
Organization subpart
No
Provider details
NPI number
Authorized official
JILLIAN J TISCH (AUTHORIZED PERSONNEL)
(248) 545-0707
Entity
Organization
Contact information
Practice address
1915 BALDWIN AVE, PONTIAC, MI 48340-1173
(248) 335-7020
(248) 335-0141
Mailing address
6905 TELEGRAPH RD STE 360, BLOOMFIELD HILLS, MI 48301-3189
(248) 545-0707
(248) 545-0270
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
10/05/2021
Last updated
10/18/2021
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