Provider Demographics
NPI:1679836225
Name:SENIOR SERVICES ASSOCIATES, INC.
Entity Type:Organization
Organization Name:SENIOR SERVICES ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHOENHOLTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-741-0404
Mailing Address - Street 1:101 S GROVE AVE
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60120-6407
Mailing Address - Country:US
Mailing Address - Phone:847-741-0404
Mailing Address - Fax:847-741-2163
Practice Address - Street 1:101 S GROVE AVE
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60120-6407
Practice Address - Country:US
Practice Address - Phone:847-741-0404
Practice Address - Fax:847-741-2163
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-19
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management