| Organization Name: | MID COUNTY SENIOR SERVICES |
| NPI Number: | 1164581062 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LESA SULIMAY (EXECUTIVE DIRECTOR) |
| Mailing Address: | 1991 S Sprout Rd Suite 850 Lawrence Park Adult Day Services Broomall |
| State: | PA US |
| Postal Code: | 190083519 |
| Phone Number: | 6103251600 |
| Fax Number: | 6103251495 |
| NPI Enumeration Date: | 12/06/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | 300140 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |