Provider Demographics
NPI:1376868067
Name:SERVITOR INC.
Entity Type:Organization
Organization Name:SERVITOR INC.
Other - Org Name:SENIOR HELPERS OF NORTH COAST FLORIDA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:EMERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-371-3570
Mailing Address - Street 1:8833 PERIMETER PARK BLVD
Mailing Address - Street 2:STE. 602
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-1109
Mailing Address - Country:US
Mailing Address - Phone:904-458-9000
Mailing Address - Fax:904-683-6585
Practice Address - Street 1:8833 PERIMETER PARK BLVD
Practice Address - Street 2:STE. 602
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-1109
Practice Address - Country:US
Practice Address - Phone:904-458-9000
Practice Address - Fax:904-683-6585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-06
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health