| Organization Name: | SENIOR MOMENTS, LLC |
| NPI Number: | 1851796163 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LORI J O'CONNOR (DIRECTOR/OWNER) |
| Mailing Address: | 31 Kingsbury Ave Tolland |
| State: | CT US |
| Postal Code: | 06084 |
| Phone Number: | 8609264515 |
| Fax Number: | 8609264517 |
| NPI Enumeration Date: | 10/29/2014 |
| NPI Last Update Date: | 10/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |