Provider Demographics
NPI:1689067761
Name:SENIOR CARE SERVICES & TRANSPORT,LLC
Entity Type:Organization
Organization Name:SENIOR CARE SERVICES & TRANSPORT,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:LUVENIA
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-356-6898
Mailing Address - Street 1:1088 PRIMROSE LN
Mailing Address - Street 2:
Mailing Address - City:MILAN
Mailing Address - State:MI
Mailing Address - Zip Code:48160-1451
Mailing Address - Country:US
Mailing Address - Phone:248-356-6898
Mailing Address - Fax:248-356-4098
Practice Address - Street 1:1088 PRIMROSE LN
Practice Address - Street 2:
Practice Address - City:MILAN
Practice Address - State:MI
Practice Address - Zip Code:48160-1451
Practice Address - Country:US
Practice Address - Phone:248-356-6898
Practice Address - Fax:248-356-4098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-12
Last Update Date:2015-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIE4650M343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)