Provider Demographics
NPI:1912693789
Name:SENIORS COMPANION SERVICE 24/7
Entity Type:Organization
Organization Name:SENIORS COMPANION SERVICE 24/7
Other - Org Name:SENIORS COMPANION SERVICE 24/7
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIR
Authorized Official - Prefix:MR
Authorized Official - First Name:BATULIO
Authorized Official - Middle Name:
Authorized Official - Last Name:LOUIS
Authorized Official - Suffix:
Authorized Official - Credentials:DIRECTOR
Authorized Official - Phone:347-645-0249
Mailing Address - Street 1:843 BALLARD ST APT G
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-5776
Mailing Address - Country:US
Mailing Address - Phone:347-645-0249
Mailing Address - Fax:
Practice Address - Street 1:843 BALLARD ST APT G
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-5776
Practice Address - Country:US
Practice Address - Phone:347-645-0249
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-14
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care