Provider Demographics
NPI:1144772872
Name:SENIOR SOLUTION AGENCY LLC
Entity Type:Organization
Organization Name:SENIOR SOLUTION AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SOO
Authorized Official - Middle Name:
Authorized Official - Last Name:EO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-450-2195
Mailing Address - Street 1:7 BROAD AVE STE 206
Mailing Address - Street 2:
Mailing Address - City:PALISADES PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07650-1886
Mailing Address - Country:US
Mailing Address - Phone:201-313-0131
Mailing Address - Fax:201-917-5310
Practice Address - Street 1:7 BROAD AVE STE 206
Practice Address - Street 2:
Practice Address - City:PALISADES PARK
Practice Address - State:NJ
Practice Address - Zip Code:07650-1886
Practice Address - Country:US
Practice Address - Phone:201-313-0131
Practice Address - Fax:201-917-5310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-28
Last Update Date:2020-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health