Provider Demographics
NPI:1669906475
Name:ARINAS SENIOR CARE LLC
Entity type:Organization
Organization Name:ARINAS SENIOR CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:IRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:DENNERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-277-6889
Mailing Address - Street 1:6861 N CLUNBURY RD
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-4316
Mailing Address - Country:US
Mailing Address - Phone:248-277-6889
Mailing Address - Fax:
Practice Address - Street 1:6861 N CLUNBURY RD
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-4316
Practice Address - Country:US
Practice Address - Phone:248-277-6889
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-18
Last Update Date:2017-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility