Provider Demographics
NPI:1346632296
Name:SENIOR CARE OF LEBANON AND LOWER DAUPHIN COUNTY
Entity Type:Organization
Organization Name:SENIOR CARE OF LEBANON AND LOWER DAUPHIN COUNTY
Other - Org Name:SENIORS HELPING SENIORS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:TIPTON
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:717-933-2077
Mailing Address - Street 1:110 SHORT RD
Mailing Address - Street 2:
Mailing Address - City:MYERSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17067-1664
Mailing Address - Country:US
Mailing Address - Phone:717-933-2077
Mailing Address - Fax:717-303-3774
Practice Address - Street 1:110 SHORT RD
Practice Address - Street 2:
Practice Address - City:MYERSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17067-1664
Practice Address - Country:US
Practice Address - Phone:717-933-2077
Practice Address - Fax:717-303-3774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-02
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA21203601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health