Provider Demographics
NPI:1134984750
Name:SELFLESS LIFE COMPANION SERVICES
Entity type:Organization
Organization Name:SELFLESS LIFE COMPANION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-483-7836
Mailing Address - Street 1:1301 YORK RD
Mailing Address - Street 2:STE 800 #1008
Mailing Address - City:LUTHERVILLE TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21093
Mailing Address - Country:US
Mailing Address - Phone:443-483-7836
Mailing Address - Fax:
Practice Address - Street 1:1301 YORK RD
Practice Address - Street 2:STE 800 #1008
Practice Address - City:LUTHERVILLE TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093
Practice Address - Country:US
Practice Address - Phone:443-483-7836
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-14
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No385H00000XRespite Care FacilityRespite Care