Provider Demographics
NPI:1740017250
Name:SEKENAH R DAYE
Entity type:Organization
Organization Name:SEKENAH R DAYE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SEKENAH
Authorized Official - Middle Name:
Authorized Official - Last Name:TENNISON
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:269-591-2894
Mailing Address - Street 1:28687 POKAGON HWY
Mailing Address - Street 2:
Mailing Address - City:DOWAGIAC
Mailing Address - State:MI
Mailing Address - Zip Code:49047-9710
Mailing Address - Country:US
Mailing Address - Phone:269-228-8034
Mailing Address - Fax:
Practice Address - Street 1:142 S BROADWAY ST
Practice Address - Street 2:
Practice Address - City:CASSOPOLIS
Practice Address - State:MI
Practice Address - Zip Code:49031-1243
Practice Address - Country:US
Practice Address - Phone:269-228-8034
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-18
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management