Provider Demographics
NPI:1710757935
Name:SENIOR LIVING HOME HEALTH CARE AGENCY
Entity Type:Organization
Organization Name:SENIOR LIVING HOME HEALTH CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GORDON
Authorized Official - Middle Name:
Authorized Official - Last Name:CAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-292-8508
Mailing Address - Street 1:240 W MAIN ST APT 1
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401-4658
Mailing Address - Country:US
Mailing Address - Phone:610-292-8508
Mailing Address - Fax:610-292-8508
Practice Address - Street 1:240 W MAIN ST APT 1
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-4658
Practice Address - Country:US
Practice Address - Phone:610-292-8508
Practice Address - Fax:610-292-8508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health