Provider Demographics
NPI:1770823346
Name:MEGA SENIOR SERVICES INC
Entity Type:Organization
Organization Name:MEGA SENIOR SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN, RN
Authorized Official - Prefix:
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:GILROY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:561-400-8531
Mailing Address - Street 1:1840 FOREST HILL BLVD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33406
Mailing Address - Country:US
Mailing Address - Phone:561-855-8836
Mailing Address - Fax:561-727-8528
Practice Address - Street 1:1840 FOREST HILL BLVD
Practice Address - Street 2:SUITE 203
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406
Practice Address - Country:US
Practice Address - Phone:561-855-8836
Practice Address - Fax:561-727-8528
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-19
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299994202251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health