Provider Demographics
NPI:1669786836
Name:SENIOR CARE INC.
Entity type:Organization
Organization Name:SENIOR CARE INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:PETERSEN
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:915-845-2555
Mailing Address - Street 1:550 S. MESA HILLS
Mailing Address - Street 2:SUITE C-1
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912
Mailing Address - Country:US
Mailing Address - Phone:915-845-2555
Mailing Address - Fax:915-845-5659
Practice Address - Street 1:550 S MESA HILLS DR
Practice Address - Street 2:SUITE C-1
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-5757
Practice Address - Country:US
Practice Address - Phone:915-845-2555
Practice Address - Fax:915-845-5659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-30
Last Update Date:2010-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care