Provider Demographics
NPI:1073017851
Name:SENIOR HOME HELP LLC
Entity Type:Organization
Organization Name:SENIOR HOME HELP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:ENTENMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-538-6027
Mailing Address - Street 1:11550 WILLOW GROVE RD
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:DE
Mailing Address - Zip Code:19934-2297
Mailing Address - Country:US
Mailing Address - Phone:302-538-6027
Mailing Address - Fax:302-387-1581
Practice Address - Street 1:11550 WILLOW GROVE RD
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:DE
Practice Address - Zip Code:19934-2297
Practice Address - Country:US
Practice Address - Phone:302-538-6027
Practice Address - Fax:302-387-1581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-19
Last Update Date:2018-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care