Provider Demographics
NPI:1568600997
Name:SILVER PLATTER ENTERPRISES INC.
Entity Type:Organization
Organization Name:SILVER PLATTER ENTERPRISES INC.
Other - Org Name:COMFORT KEEPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LENA
Authorized Official - Middle Name:MAUREEN
Authorized Official - Last Name:WATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-206-1234
Mailing Address - Street 1:5888 RIDGEWOOD RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39211-2644
Mailing Address - Country:US
Mailing Address - Phone:601-206-1234
Mailing Address - Fax:601-206-1235
Practice Address - Street 1:5888 RIDGEWOOD RD
Practice Address - Street 2:SUITE C
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39211-2644
Practice Address - Country:US
Practice Address - Phone:601-206-1234
Practice Address - Fax:601-206-1235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-22
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care