West Village Sil LLC

NPI #1962287318 in Detroit, Michigan

Provider Information

NPI Number: 1962287318
Entity Type: Organization
Organization Name: West Village Sil LLC
Primary Specialty: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Enumeration Date: Aug 25, 2023
Last Updated: Aug 25, 2023

Practice Location

Address: 12052 MENDOTA ST
City: Detroit
State: Michigan
ZIP Code: 48204
Phone: (313) 258-6325

Authorized Official

Name: CARLA RENEE WEST
Title: PRESIDENT
Phone: (313) 258-6325

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization	251T00000X	Primary

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