Provider Demographics
NPI:1417128588
Name:SENIOR SUPPORT SERVICES INC
Entity Type:Organization
Organization Name:SENIOR SUPPORT SERVICES INC
Other - Org Name:SENIOR HELPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANNE
Authorized Official - Middle Name:E
Authorized Official - Last Name:CESVETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-353-6680
Mailing Address - Street 1:900 COMMONWEALTH PL
Mailing Address - Street 2:SUITE 207
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-4517
Mailing Address - Country:US
Mailing Address - Phone:757-353-6680
Mailing Address - Fax:757-353-6682
Practice Address - Street 1:900 COMMONWEALTH PL
Practice Address - Street 2:SUITE 207
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23464-4517
Practice Address - Country:US
Practice Address - Phone:757-353-6680
Practice Address - Fax:757-353-6682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-17
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health