Organization
ORDISH SIP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANTA DICKENDESCHER (OWNER)
(810) 837-0894
Entity
Organization
Contact information
Practice address
1975 E SANILAC RD, CARSONVILLE, MI 48419-9137
(810) 837-0894
Mailing address
1975 E SANILAC RD, CARSONVILLE, MI 48419-9137
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/05/2021
Last updated
01/11/2023
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