Opal Senior Services Llc in Southfield - Clinical
Opal Senior Services Llc - NPI 1144387507
Opal Senior Services Llc is a Clinical in Southfield, Michigan. Opal Senior Services Llc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Opal Senior Services Llc is 1144387507. The last update date is 2020-08-22.
Opal Senior Services Llc's current location address is 17610 Cornell, Southfield, Michigan. You can contact this provider via phone number 2483953942 and fax number 2483953759. The mailing address for Opal Senior Services Llc is 17610 Cornell, Southfield, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Opal Senior Services Llc |
|---|---|
| Address | 17610 Cornell, Southfield, Michigan |
| Phone Number | 2483953942 |
| Fax Number | 2483953759 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | Byrd Lynne Pamela |
| Credentials | MSW LMSW |
| Telephone Number | 2483953942 |
NPI Number Detail
| NPI Number | 1144387507 |
|---|---|
| Provider Enumeration Date | 2007-01-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 17610 Cornell |
|---|---|
| City | Southfield |
| State | Michigan (MI) |
| Post Code | 48075 |
| Phone Number | 2483953942 |
| Fax Number | 2483953759 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801088359 |
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What is the unique identifier code issued to Opal Senior Services Llc by the Centers for Medicare & Medicaid Services?
The Opal Senior Services Llc has been assigned the NPI (National Provider Identifier) 1144387507. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Opal Senior Services Llc?
The Opal Senior Services Llc is situated at 17610 Cornell, in the city of Southfield, state of MI, with the zip code 48075.
What is Opal Senior Services Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Opal Senior Services Llc is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1144387507 to Opal Senior Services Llc?
The Centers for Medicare & Medicaid Services originally issued the 1144387507 to Opal Senior Services Llc on 2007-01-03.
When was the information pertaining to Opal Senior Services Llc most recently updated or revised?
The details related to Opal Senior Services Llc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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