Provider Demographics
NPI:1811263536
Name:SENIOR SAFETY SERVICES, LLC
Entity type:Organization
Organization Name:SENIOR SAFETY SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:OSTEEN
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:918-938-2574
Mailing Address - Street 1:1611 S UTICA AVE
Mailing Address - Street 2:263
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-4909
Mailing Address - Country:US
Mailing Address - Phone:918-938-2574
Mailing Address - Fax:918-512-4189
Practice Address - Street 1:3130 S WINSTON AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-2029
Practice Address - Country:US
Practice Address - Phone:918-938-2574
Practice Address - Fax:918-512-4189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-27
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies