Provider Demographics
NPI:1801483672
Name:ATTENTION TO DETAIL SENIOR SERVICES LLC
Entity type:Organization
Organization Name:ATTENTION TO DETAIL SENIOR SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEVONTE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCONIERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-556-4533
Mailing Address - Street 1:PO BOX 986
Mailing Address - Street 2:
Mailing Address - City:MIDWAY
Mailing Address - State:FL
Mailing Address - Zip Code:32343-0986
Mailing Address - Country:US
Mailing Address - Phone:850-556-4533
Mailing Address - Fax:
Practice Address - Street 1:780 RUSTLING PINES BLVD
Practice Address - Street 2:
Practice Address - City:MIDWAY
Practice Address - State:FL
Practice Address - Zip Code:32343-4272
Practice Address - Country:US
Practice Address - Phone:850-556-4533
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-28
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities