Provider Demographics
NPI:1881896678
Name:SK ADULT DAY CARE DBA SENIORCONNECTIONS
Entity type:Organization
Organization Name:SK ADULT DAY CARE DBA SENIORCONNECTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, ADULT DAY SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:K
Authorized Official - Last Name:COLYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-581-3033
Mailing Address - Street 1:11299 OWINGS MILLS BLVD STE 204
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-2903
Mailing Address - Country:US
Mailing Address - Phone:410-581-3033
Mailing Address - Fax:
Practice Address - Street 1:11299 OWINGS MILLS BLVD STE 204
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-2903
Practice Address - Country:US
Practice Address - Phone:410-581-3033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-04
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care