Provider Demographics
NPI:1417122458
Name:APSF SENIORS BUSINESS GROUP LLP
Entity Type:Organization
Organization Name:APSF SENIORS BUSINESS GROUP LLP
Other - Org Name:APSF SENIORE BENEFIT SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARONDA
Authorized Official - Middle Name:D
Authorized Official - Last Name:GORDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-603-9218
Mailing Address - Street 1:187 FAIR HAVEN WAY
Mailing Address - Street 2:
Mailing Address - City:CHAPIN
Mailing Address - State:SC
Mailing Address - Zip Code:29036-9239
Mailing Address - Country:US
Mailing Address - Phone:803-603-9218
Mailing Address - Fax:
Practice Address - Street 1:109 GORDON TOWN RD
Practice Address - Street 2:
Practice Address - City:EDGEFIELD
Practice Address - State:SC
Practice Address - Zip Code:29824-4143
Practice Address - Country:US
Practice Address - Phone:803-603-9218
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)