Provider Demographics
NPI:1851998645
Name:SENSASATIONAL SOLUTIONAL CARE LLC
Entity Type:Organization
Organization Name:SENSASATIONAL SOLUTIONAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO//ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MALONE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:352-587-1331
Mailing Address - Street 1:29 OLD KINGS RD N STE 2B
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32137-8233
Mailing Address - Country:US
Mailing Address - Phone:386-585-4697
Mailing Address - Fax:386-585-4476
Practice Address - Street 1:29 OLD KINGS RD N STE 2B
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32137-8233
Practice Address - Country:US
Practice Address - Phone:386-585-4697
Practice Address - Fax:386-585-4476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-05
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health