Organization Name: | SENIORBRIDGE FAMILY COMPANIES (FL), INC. |
NPI Number: | 1033503743 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ERIC C. RACKOW (PRESIDENT) |
Mailing Address: | 1643 Williamsburg Sq Unit C Lakeland |
State: | FL US |
Postal Code: | 338034279 |
Phone Number: | 2129946100 |
Fax Number: | |
NPI Enumeration Date: | 03/20/2015 |
NPI Last Update Date: | 12/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 299991885 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |