Provider Demographics
NPI:1689049058
Name:SENIOR PLUS HEALTHCARE INC.
Entity Type:Organization
Organization Name:SENIOR PLUS HEALTHCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS DOO
Authorized Official - Prefix:MS
Authorized Official - First Name:DANYELLE
Authorized Official - Middle Name:M
Authorized Official - Last Name:MARSHALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-221-3170
Mailing Address - Street 1:1127 BROWN AVE
Mailing Address - Street 2:STE B
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31906-2404
Mailing Address - Country:US
Mailing Address - Phone:706-221-3170
Mailing Address - Fax:706-649-6780
Practice Address - Street 1:1127 BROWN AVE
Practice Address - Street 2:STE B
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31906-2404
Practice Address - Country:US
Practice Address - Phone:706-221-3170
Practice Address - Fax:706-649-6780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-10
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA106R1472253Z00000X
AL253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care