Organization Name: | SENIOR NETWORK, INC. |
NPI Number: | 1063531994 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KARIN MUECK LAKIN (DIRECTOR OF OPERATIONS) |
Mailing Address: | 7001 Oxon Hill Rd Oxon Hill |
State: | MD US |
Postal Code: | 207451551 |
Phone Number: | 3015671885 |
Fax Number: | |
NPI Enumeration Date: | 03/29/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0600X |
License Number: | 11469 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Day Care |
Taxonomy Definition: |