Healthcare Provider Details

I. General information

NPI: 1356563506
Provider Name (Legal Business Name): SEMS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17755 WINSTON STREET
DETROIT MI
48219-3078
US

IV. Provider business mailing address

17755 WINSTON STREET
DETROIT MI
48219-3078
US

V. Phone/Fax

Practice location:
  • Phone: 330-979-8702
  • Fax: 313-541-6556
Mailing address:
  • Phone: 330-979-8702
  • Fax: 313-541-6556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146D00000X
TaxonomyPersonal Emergency Response Attendant
License Number
License Number State

VIII. Authorized Official

Name: MR. SHANNON NEAL MAHAR
Title or Position: C.E.O., CHAIRMAN OF THE BOARD, SEC.
Credential: BA, MA, PHD CREDITS
Phone: 330-979-8702