Provider Demographics
NPI:1043971906
Name:DENEIN SENIOR SERVICES
Entity Type:Organization
Organization Name:DENEIN SENIOR SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DENEIN
Authorized Official - Middle Name:
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:RN, CSCM
Authorized Official - Phone:407-531-8222
Mailing Address - Street 1:1023 MASON AVE , SUITE 001
Mailing Address - Street 2:
Mailing Address - City:DAYTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32115
Mailing Address - Country:US
Mailing Address - Phone:407-531-8222
Mailing Address - Fax:407-426-7721
Practice Address - Street 1:1023 MASON AVE , SUITE 001
Practice Address - Street 2:
Practice Address - City:DAYTONA
Practice Address - State:FL
Practice Address - Zip Code:32115
Practice Address - Country:US
Practice Address - Phone:407-531-8222
Practice Address - Fax:407-426-7721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-04
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health