Provider Demographics
NPI:1700079076
Name:SENIOR SERVICES, INC. OF CHESTER COUNTY
Entity Type:Organization
Organization Name:SENIOR SERVICES, INC. OF CHESTER COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HENY
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:WESSINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-385-3838
Mailing Address - Street 1:PO BOX 1109
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:SC
Mailing Address - Zip Code:29706-1109
Mailing Address - Country:US
Mailing Address - Phone:803-385-3838
Mailing Address - Fax:803-385-3810
Practice Address - Street 1:1197 ARMORY RD
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:SC
Practice Address - Zip Code:29706
Practice Address - Country:US
Practice Address - Phone:803-385-3838
Practice Address - Fax:803-385-3810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-21
Last Update Date:2007-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCEX0035Medicaid