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NPI Code Detail

MEDICARE: SILVER LINING FAMILY SERVICES LLC

MEDICARE: SILVER LINING FAMILY SERVICES 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
1104100000XSocial Worker6801089613MI

General Provider Information

NPI Number : 1982910139
Entity Type Code : Organization
Provider Name (Legal Business Name) : SILVER LINING FAMILY SERVICES LLC
Provider Business Mailing Address
First Line : 4615 LAUREN LN
Second Line :
City : SAINT JOSEPH
State : MI
Zip : 49085-8659
Country : US
Telephone Number : 269-408-1609
Fax Number :
Provider Business Practice Location Address
First Line : 4615 LAUREN LN
Second Line :
City : SAINT JOSEPH
State : MI
Zip : 49085-8659
Country : US
Telephone Number : 269-408-1609
Fax Number :
Authorized Official
Title or Position : COORDINATOR
Name : JUANITA RUIZ
Credential : LLMSW
Telephone Number : 269-408-1609
Provider Enumeration Date : 08/25/2010
Last Update Date : 08/25/2010

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