MEDICARE: SLEEC, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1558753822
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SLEEC, LLC

Provider Business Mailing Address
First Line	:	PO BOX 36787
Second Line	:
City	:	GROSSE POINTE
State	:	MI
Zip	:	48236-0787
Country	:	US
Telephone Number	:	586-775-6666
Fax Number	:	586-552-1111

Provider Business Practice Location Address
First Line	:	24916 HARPER AVE
Second Line	:
City	:	SAINT CLAIR SHORES
State	:	MI
Zip	:	48080-1242
Country	:	US
Telephone Number	:	586-775-6666
Fax Number	:	586-552-1111

Authorized Official
Title or Position	:	MEMBER
Name	:	CYNTHIA ROSE
Credential	:
Telephone Number	:	586-775-6666

Provider Enumeration Date	:	02/24/2015
Last Update Date	:	02/24/2015

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