Provider Demographics
NPI:1033732490
Name:SENIOR SUPPORT SERVICING, LLC
Entity Type:Organization
Organization Name:SENIOR SUPPORT SERVICING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADON
Authorized Official - Prefix:DR
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:I
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, RN
Authorized Official - Phone:863-381-1958
Mailing Address - Street 1:5404 HOOVER BLVD STE 12
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33634-5351
Mailing Address - Country:US
Mailing Address - Phone:813-245-0058
Mailing Address - Fax:813-692-1748
Practice Address - Street 1:5404 HOOVER BLVD STE 12
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33634-5351
Practice Address - Country:US
Practice Address - Phone:813-245-0058
Practice Address - Fax:800-576-1059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-20
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health