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Organization

SENIOR CHRONIC CARE MANAGEMENT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LATINA DESIREE KAIGLER RN (MANAGER)
(248) 658-8064
Entity
Organization

Contact information

Practice address
13301 MOUND RD STE 3B, HAMTRAMCK, MI 48212-2545
(248) 658-8064
(313) 334-5081
Mailing address
13301 MOUND RD STE 3B, HAMTRAMCK, MI 48212-2545
(248) 658-8064
(313) 334-5081

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
363LC1500X
Community Health Nurse Practitioner
Primary

Other

Enumeration date
09/07/2019
Last updated
09/07/2019
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