| Orchard Living View Inc | |
|
2532 24 Mile Rd Shelby Township MI 48316-2762 | |
| (248) 931-6657 | |
| Not Available |
| Full Name | Orchard Living View Inc |
|---|---|
| Speciality | Social Worker |
| Location | 2532 24 Mile Rd, Shelby Township, Michigan |
| Authorized Official Name and Position | Shelley Letzer (OWNER) |
| Authorized Official Contact | 2489316657 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orchard Living View Inc 2532 24 Mile Rd Shelby Township MI 48316-2762 Ph: () - | Orchard Living View Inc 2532 24 Mile Rd Shelby Township MI 48316-2762 Ph: (248) 931-6657 |
| NPI Number | 1275141699 |
|---|---|
| Provider Enumeration Date | 07/22/2020 |
| Last Update Date | 10/06/2023 |
| Certification Date | 10/06/2023 |
| Medicare PECOS PAC ID | 5597178079 |
|---|---|
| Medicare Enrollment ID | O20201229002490 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275141699 | NPI | - | NPPES |
| Provider Name | Phillip R Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770920928 PECOS PAC ID: 6608000583 Enrollment ID: I20131008001278 |
| Provider Name | Constance L Durden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538668595 PECOS PAC ID: 8426318569 Enrollment ID: I20180209000074 |
| Provider Name | Linda A Schoonover |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154917946 PECOS PAC ID: 8628115581 Enrollment ID: I20210121000579 |
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