Provider Demographics
NPI:1831401512
Name:ATTARZADEH SENIOR SERVICES, INC
Entity type:Organization
Organization Name:ATTARZADEH SENIOR SERVICES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANGER
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:DAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-423-7885
Mailing Address - Street 1:6030 VILLAGE DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-4773
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6030 VILLAGE DR
Practice Address - Street 2:SUITE 200
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-4773
Practice Address - Country:US
Practice Address - Phone:402-423-7885
Practice Address - Fax:402-328-9346
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-09
Last Update Date:2010-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care