Provider Demographics
NPI:1518132091
Name:SENIOR CITIZENS SERVICES INC
Entity Type:Organization
Organization Name:SENIOR CITIZENS SERVICES INC
Other - Org Name:ACTIVE GENERATIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSISTANT PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:GROSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-336-6751
Mailing Address - Street 1:2300 W 46TH ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-6528
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2300 W 46TH ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-6528
Practice Address - Country:US
Practice Address - Phone:605-336-6722
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SENIOR CITIZENS SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-25
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals