Provider Demographics
NPI:1598193922
Name:SERVICES FOR OLDER CITIZENS
Entity Type:Organization
Organization Name:SERVICES FOR OLDER CITIZENS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECTUVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:MAIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-882-9600
Mailing Address - Street 1:158 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:GROSSE POINTE FARMS
Mailing Address - State:MI
Mailing Address - Zip Code:48236-3514
Mailing Address - Country:US
Mailing Address - Phone:313-882-9600
Mailing Address - Fax:313-882-8466
Practice Address - Street 1:158 RIDGE RD
Practice Address - Street 2:
Practice Address - City:GROSSE POINTE FARMS
Practice Address - State:MI
Practice Address - Zip Code:48236-3514
Practice Address - Country:US
Practice Address - Phone:313-882-9600
Practice Address - Fax:313-882-8466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-22
Last Update Date:2013-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management