Provider Demographics
NPI:1376257238
Name:YOUNG AT HEART ELDERLY SITTING SERVICE
Entity Type:Organization
Organization Name:YOUNG AT HEART ELDERLY SITTING SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:KIANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MURCHISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-367-9669
Mailing Address - Street 1:2312 BROCK AVE
Mailing Address - Street 2:
Mailing Address - City:WINTERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28590-8892
Mailing Address - Country:US
Mailing Address - Phone:252-367-9669
Mailing Address - Fax:
Practice Address - Street 1:3108 BRIARCLIFF DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-4904
Practice Address - Country:US
Practice Address - Phone:252-320-9553
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-05
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health