Healthcare Provider Details

I. General information

NPI: 1295260040
Provider Name (Legal Business Name): SENIORS FOR SENIOR CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2017
Last Update Date: 05/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4613 PARKWAY DR.
TEXARKANA AR
71854
US

IV. Provider business mailing address

4613 PARKWAY DR.
TEXARKANA AR
71854
US

V. Phone/Fax

Practice location:
  • Phone: 903-831-6275
  • Fax:
Mailing address:
  • Phone: 903-831-6275
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name: RICK HUNTZE
Title or Position: GENERAL MANAGER
Credential:
Phone: 903-293-3404