Provider Demographics
NPI:1083235485
Name:MICHEDDIE INTERNATIONAL LLC DBA SENIOR HELPERS
Entity Type:Organization
Organization Name:MICHEDDIE INTERNATIONAL LLC DBA SENIOR HELPERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDDIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-886-7461
Mailing Address - Street 1:3917 STOCKDALE HWY
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-2019
Mailing Address - Country:US
Mailing Address - Phone:619-886-7461
Mailing Address - Fax:
Practice Address - Street 1:3917 STOCKDALE HWY
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-2019
Practice Address - Country:US
Practice Address - Phone:619-886-7461
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-27
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health