Provider Demographics
NPI:1922439926
Name:UNITED SENIOR SERVICES LLC
Entity Type:Organization
Organization Name:UNITED SENIOR SERVICES LLC
Other - Org Name:WELLSPRINGS RESIDENCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANDREAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:MUELLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-880-8020
Mailing Address - Street 1:700 E WELCH RD
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32712-2921
Mailing Address - Country:US
Mailing Address - Phone:407-880-8020
Mailing Address - Fax:407-574-7166
Practice Address - Street 1:700 E WELCH RD
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32712-2921
Practice Address - Country:US
Practice Address - Phone:407-880-8020
Practice Address - Fax:407-574-7166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-02
Last Update Date:2013-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility