Healthcare Provider Details

I. General information

NPI: 1922439926
Provider Name (Legal Business Name): UNITED SENIOR SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2013
Last Update Date: 12/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 E WELCH RD
APOPKA FL
32712-2921
US

IV. Provider business mailing address

700 E WELCH RD
APOPKA FL
32712-2921
US

V. Phone/Fax

Practice location:
  • Phone: 407-880-8020
  • Fax: 407-574-7166
Mailing address:
  • Phone: 407-880-8020
  • Fax: 407-574-7166

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License Number
License Number State

VIII. Authorized Official

Name: ANDREAS J. MUELLER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 407-880-8020