MEDICARE: SAGINAW SENIORS INC

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	174400000X	Specialist

General Provider Information

NPI Number	:	1588744239
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAGINAW SENIORS INC

Provider Business Mailing Address
First Line	:	25 HIGHLAND PARK VLG
Second Line	:	#100-607
City	:	DALLAS
State	:	TX
Zip	:	75205-2789
Country	:	US
Telephone Number	:	469-522-1900
Fax Number	:	469-522-1903

Provider Business Practice Location Address
First Line	:	25 HIGHLAND PARK VLG
Second Line	:	#100-607
City	:	DALLAS
State	:	TX
Zip	:	75205-2789
Country	:	US
Telephone Number	:	469-522-1900
Fax Number	:	469-522-1903

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MS. LINDA STARR
Credential	:
Telephone Number	:	317-598-8880

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	08/22/2020

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Directions to “SAGINAW SENIORS INC ” Practice Location

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