Provider Demographics
NPI:1780106021
Name:WHITES SENIOR ASSISTANCE LLC
Entity type:Organization
Organization Name:WHITES SENIOR ASSISTANCE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:231-392-2364
Mailing Address - Street 1:PO BOX 264
Mailing Address - Street 2:
Mailing Address - City:EASTPORT
Mailing Address - State:MI
Mailing Address - Zip Code:49627-0264
Mailing Address - Country:US
Mailing Address - Phone:231-392-2364
Mailing Address - Fax:
Practice Address - Street 1:5988 N M 88
Practice Address - Street 2:
Practice Address - City:CENTRAL LAKE
Practice Address - State:MI
Practice Address - Zip Code:49622-9464
Practice Address - Country:US
Practice Address - Phone:231-392-2364
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care