Provider Demographics
NPI:1851639629
Name:MLM SENIOR SERVICES, LLC
Entity Type:Organization
Organization Name:MLM SENIOR SERVICES, LLC
Other - Org Name:COMFORCARE SENIOR SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:HOUSTON
Authorized Official - Last Name:SLUDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-338-6146
Mailing Address - Street 1:623 E MAIN ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-2690
Mailing Address - Country:US
Mailing Address - Phone:615-338-6148
Mailing Address - Fax:615-537-2385
Practice Address - Street 1:623 E MAIN ST
Practice Address - Street 2:SUITE 2
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-2690
Practice Address - Country:US
Practice Address - Phone:615-338-6148
Practice Address - Fax:615-537-2385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-29
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1000000012258253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care