Provider Demographics
NPI:1497597801
Name:SENIOR SOLUTIONS LLC
Entity type:Organization
Organization Name:SENIOR SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-214-8653
Mailing Address - Street 1:20002 DENTVILLE RD
Mailing Address - Street 2:
Mailing Address - City:HAZLEHURST
Mailing Address - State:MS
Mailing Address - Zip Code:39083-9747
Mailing Address - Country:US
Mailing Address - Phone:601-214-8653
Mailing Address - Fax:
Practice Address - Street 1:20002 DENTVILLE RD
Practice Address - Street 2:
Practice Address - City:HAZLEHURST
Practice Address - State:MS
Practice Address - Zip Code:39083-9747
Practice Address - Country:US
Practice Address - Phone:601-214-8653
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-07
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)