Organization
SENIOR PALACE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TASHA HARRIS (OWNER)
(313) 914-8742
Entity
Organization
Contact information
Practice address
6402 PENROD ST, DETROIT, MI 48228-4748
(800) 573-6618
Mailing address
6402 PENROD ST, DETROIT, MI 48228-4748
(800) 573-6618
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/07/2016
Last updated
05/07/2016
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