Provider Demographics
NPI:1881166866
Name:SENIOR VISITS, LLC
Entity type:Organization
Organization Name:SENIOR VISITS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARLTON
Authorized Official - Middle Name:I
Authorized Official - Last Name:DAWES
Authorized Official - Suffix:
Authorized Official - Credentials:MS, ANP-C, CNE
Authorized Official - Phone:734-834-1134
Mailing Address - Street 1:4711 ELMWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48073-1550
Mailing Address - Country:US
Mailing Address - Phone:248-291-5287
Mailing Address - Fax:
Practice Address - Street 1:4711 ELMWOOD AVE
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48073-1550
Practice Address - Country:US
Practice Address - Phone:248-291-5287
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-01
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty