Provider Demographics
NPI:1144907718
Name:SENIOR 1ST FAMILY SERVICES LLC
Entity type:Organization
Organization Name:SENIOR 1ST FAMILY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALONZO
Authorized Official - Middle Name:
Authorized Official - Last Name:WINSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-621-6782
Mailing Address - Street 1:1613 S CHURCH ST STE 7
Mailing Address - Street 2:
Mailing Address - City:SMITHFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23430-1831
Mailing Address - Country:US
Mailing Address - Phone:757-621-6782
Mailing Address - Fax:757-279-0282
Practice Address - Street 1:136 MAPLE ST
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-4050
Practice Address - Country:US
Practice Address - Phone:757-621-6782
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-05
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services