Organization
SENIOR HOME HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS G HALLER (PRESIDENT)
(248) 363-7575
Entity
Organization
Contact information
Practice address
4204 MARTIN RD, SUITE E, COMMERCE TOWNSHIP, MI 48390-4135
(248) 363-7575
(248) 363-9214
Mailing address
4204 MARTIN RD, SUITE E, COMMERCE TOWNSHIP, MI 48390-4135
(248) 363-7575
(248) 363-9214
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2684844
—
MI
01
—
54OF30711
BLUE CROSS BLUE SHIELD MI
MI
Enumeration date
11/11/2005
Last updated
07/21/2022
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