Provider Demographics
NPI:1558668327
Name:SENIOR LINK HOME HEALTH CARE-MUSKEGON, INC.
Entity type:Organization
Organization Name:SENIOR LINK HOME HEALTH CARE-MUSKEGON, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/CEO
Authorized Official - Prefix:
Authorized Official - First Name:RAKESH
Authorized Official - Middle Name:B
Authorized Official - Last Name:ADWANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-761-4697
Mailing Address - Street 1:1478 E ELLIS RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NORTON SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:49444-9768
Mailing Address - Country:US
Mailing Address - Phone:248-761-4697
Mailing Address - Fax:248-798-8133
Practice Address - Street 1:1478 E ELLIS RD
Practice Address - Street 2:SUITE 100
Practice Address - City:NORTON SHORES
Practice Address - State:MI
Practice Address - Zip Code:49444-9768
Practice Address - Country:US
Practice Address - Phone:248-761-4697
Practice Address - Fax:248-798-8133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-14
Last Update Date:2011-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health