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Organization

SPI SENIOR LIVING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GINA M SMITH RN (REGISTERED NURSE)
(586) 208-9445
Entity
Organization

Contact information

Practice address
34736 E LAKE DR, HARRISON TWP, MI 48045-3327
(313) 858-0758
Mailing address
34736 E LAKE DR, HARRISON TWP, MI 48045-3327
(586) 208-9445

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary

Other

Enumeration date
03/11/2025
Last updated
03/11/2025
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