OrganizationEaster Seals - MichiganSocial WorkerBehavioral Health & Social Service ProvidersPractice Address22150 W 9 Mile Rd, Southfield, MI 48033-6007(248) 372-6800PECOS EnrollmentBased on the most recent information from CMS, provider Easter Seals - Michigan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:21 AM.Profile DetailsProvider ID1568683761Provider TypeOrganizationFull NameEaster Seals - MichiganSubpartNoEnumeration Date5/2/2007Last Updated11/1/2010Contact InformationPractice LocationPractice Address22150 W 9 Mile Rd, Southfield, MI 48033-6007Phone(248) 372-6800Fax(248) 357-6090Mailing LocationMailing Address22150 W 9 Mile Rd, Southfield, MI 48033-6007Phone(248) 372-6800Fax(248) 357-6090Authorized OfficialNameSellers, Kerri (Site Mangage)Phone(248) 372-6800Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense6801088483MichiganProvider IdentifiersIDDescriptionIssuerID1003028226DescriptionMedicaidIssuerUnlistedMichigan