Provider Demographics
NPI:1487818985
Name:APSF SENIORS BENEFIT SERVICES, LLC
Entity Type:Organization
Organization Name:APSF SENIORS BENEFIT SERVICES, LLC
Other - Org Name:APSF SENIORS 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:866-752-7363
Mailing Address - Fax:803-753-7335
Practice Address - Street 1:187 FAIR HAVEN WAY
Practice Address - Street 2:
Practice Address - City:CHAPIN
Practice Address - State:SC
Practice Address - Zip Code:29036-9239
Practice Address - Country:US
Practice Address - Phone:866-752-7363
Practice Address - Fax:803-753-7335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-14
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization