OrganizationActive
Se Michigan Senior Services LLC
NPI 1164194403 · Home Delivered Meals · Pontiac, MI
Provider details
- NPI number
- 1164194403
- Entity type
- Organization
- Primary specialty
- Home Delivered MealsSuppliers
- Organization subpart
- No
- Authorized official
- Jillian Tisch, Authorized Personnel(248) 545-0707
Specialties & taxonomies
Suppliers
- Homemaker376J00000X
Nursing Service Related Providers
Practice location
1915 Baldwin Ave
Pontiac, MI 48340-1173
Phone: (248) 335-7020
Fax: (248) 335-0141
Approximate (ZIP-level) locationGet directions
Mailing address
6905 Telegraph Rd Ste 360
Bloomfield Hills, MI 48301-3189
Other names (DBA / former)
- Doing business as
- Baldwin House Lakeside I, Lakeside II & Oakland
Additional practice locations (2)
- 15731 19 Mile RdClinton Township, MI 48038-6315Phone: (586) 263-0081Fax: (586) 412-1672
- 15821 19 Mile RdClinton Township, MI 48038-6320Phone: (586) 228-8889Fax: (586) 263-9486
Registry dates
- Enumerated
- 2021-10-05
- Last updated
- 2021-10-18
- Certified
- 2021-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.