Provider Demographics
NPI:1720744931
Name:SENIOR'S DELIGHT HOME CARE, LLC
Entity Type:Organization
Organization Name:SENIOR'S DELIGHT HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OMOLOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:AREOLA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:972-267-3578
Mailing Address - Street 1:18880 MARSH LN APT 603
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-2213
Mailing Address - Country:US
Mailing Address - Phone:972-267-3578
Mailing Address - Fax:
Practice Address - Street 1:18880 MARSH LN APT 603
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75287-2213
Practice Address - Country:US
Practice Address - Phone:972-267-3578
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-11
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty