Organization
MICHIGAN SENIOR CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BALA PEDDY (ASSISTANT ADMINISTRATOR)
(309) 363-7402
Entity
Organization
Contact information
Practice address
601 E CENTRE AVE, SUITE B, PORTAGE, MI 49002-5514
(309) 363-7402
(269) 343-0990
Mailing address
601 E CENTRE AVE, SUITE B, PORTAGE, MI 49002-5514
(309) 363-7402
(269) 343-0990
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/05/2010
Last updated
08/23/2011
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