Organization
SENIOR LIVING PERSONAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY ALICIA CASSADY (ADMINISTRATOR)
(231) 929-8131
Entity
Organization
Contact information
Practice address
908 W 7TH ST, TRAVERSE CITY, MI 49684-2441
(231) 929-8131
(231) 929-8134
Mailing address
526 W 14TH ST # 246, TRAVERSE CITY, MI 49684-4051
(231) 929-8131
(231) 929-8134
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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