| Organization Name: | SENIOR INDEPENDENCE |
| NPI Number: | 1386032373 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LAURENCE C GUMINA (CEO) |
| Mailing Address: | 6715 Tippecanoe Rd Bldg E Suite 201 Canfield |
| State: | OH US |
| Postal Code: | 444068180 |
| Phone Number: | 3305334350 |
| Fax Number: | 3305334650 |
| NPI Enumeration Date: | 12/30/2014 |
| NPI Last Update Date: | 12/30/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 0157HSP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |