Provider Demographics
NPI:1033551403
Name:SENIOR CARE GUIDANCE GROUP INC.
Entity Type:Organization
Organization Name:SENIOR CARE GUIDANCE GROUP INC.
Other - Org Name:MISSIONARY MEDICAL SUPPLY COMPANY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LETITIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WAYS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-437-5551
Mailing Address - Street 1:4200 FORBES BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-4342
Mailing Address - Country:US
Mailing Address - Phone:240-696-5522
Mailing Address - Fax:301-263-7770
Practice Address - Street 1:4200 FORBES BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-4342
Practice Address - Country:US
Practice Address - Phone:240-696-5522
Practice Address - Fax:301-263-7770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-25
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC071315900Medicaid
MD4235614 00Medicaid