Organization
RD SENIOR CARE SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
M MICHELE HEIDENREICH PAC (PRESIDENT)
(248) 363-4143
Entity
Organization
Contact information
Practice address
1157 UNION LAKE RD, WHITE LAKE, MI 48386-4348
(248) 363-4143
(248) 363-2160
Mailing address
PO BOX 151, UNION LAKE, MI 48387-0151
(248) 363-4143
(248) 363-2160
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F31774
BCBSM
MI
05
—
4525417
—
MI
05
—
4588275
—
MI
05
—
4620793
—
MI
05
—
4832042
—
MI
Enumeration date
06/06/2006
Last updated
09/11/2025
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