Provider Demographics
NPI:1306022991
Name:SENIOR RESPIRATORY SOLUTIONS, INC.
Entity Type:Organization
Organization Name:SENIOR RESPIRATORY SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:B
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-794-4386
Mailing Address - Street 1:24823 COMMERCIAL AVE
Mailing Address - Street 2:#4
Mailing Address - City:ORANGE BEACH
Mailing Address - State:AL
Mailing Address - Zip Code:36561-5838
Mailing Address - Country:US
Mailing Address - Phone:251-980-2027
Mailing Address - Fax:251-980-2028
Practice Address - Street 1:24823 COMMERCIAL AVE
Practice Address - Street 2:#4
Practice Address - City:ORANGE BEACH
Practice Address - State:AL
Practice Address - Zip Code:36561-5838
Practice Address - Country:US
Practice Address - Phone:251-980-2027
Practice Address - Fax:251-980-2028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-14
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL900665332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL102559Medicaid
AL102559Medicaid