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NPI Code Detail

MEDICARE: NORTHWEST SENIOR RESOURCES INCORPORATED

MEDICARE: NORTHWEST SENIOR RESOURCES INCORPORATED
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
1251B00000XCase Management Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295755122
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHWEST SENIOR RESOURCES INCORPORATED
Provider Business Mailing Address
First Line : PO BOX 5946
Second Line : 1609 PARK DRIVE
City : TRAVERSE CITY
State : MI
Zip : 49696-5946
Country : US
Telephone Number : 231-947-8920
Fax Number : 231-947-6401
Provider Business Practice Location Address
First Line : 1609 PARK DR
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49696-5946
Country : US
Telephone Number : 231-947-8920
Fax Number : 231-947-6401
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. ROBERT C SCHLUETER
Credential :
Telephone Number : 231-947-8920
Provider Enumeration Date : 07/21/2006
Last Update Date : 10/07/2015

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Directions to “NORTHWEST SENIOR RESOURCES INCORPORATED ” Practice Location

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