MEDICARE: THE SENIOR ALLIANCE

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	251B00000X	Case Management Agency

Other Identifiers

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

General Provider Information

NPI Number	:	1508009770
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE SENIOR ALLIANCE

Provider Business Mailing Address
First Line	:	3200 GREENFIELD RD STE 100
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48120-1802
Country	:	US
Telephone Number	:	734-722-2830
Fax Number	:	734-722-2836

Provider Business Practice Location Address
First Line	:	3200 GREENFIELD RD STE 100
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48120-1802
Country	:	US
Telephone Number	:	734-722-2830
Fax Number	:	734-722-2836

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	MS. LYDIA GOLD
Credential	:
Telephone Number	:	734-722-2830

Provider Enumeration Date	:	04/17/2009
Last Update Date	:	01/08/2025

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Directions to “THE SENIOR ALLIANCE ” Practice Location

Language	Start Address	Practice Location

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