OrganizationActive
Senior Community Nursing Center
NPI 1275748022 · Parenteral & Enteral Nutrition Supplies (DME) · Detroit, MI
Provider details
- NPI number
- 1275748022
- Entity type
- Organization
- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Julie Kaslly, Administrator(313) 343-8000
Specialties & taxonomies
Suppliers
Practice location
18300 E Warren Ave
Detroit, MI 48224-1343
Phone: (313) 343-8000
Fax: (313) 343-8959
Approximate (ZIP-level) locationGet directions
Mailing address
18300 E Warren Ave
Detroit, MI 48224-1343
Registry dates
- Enumerated
- 2007-05-14
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.