Healthcare Provider Details

I. General information

NPI: 1275646929
Provider Name (Legal Business Name): SENIORS FIRST, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 08/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5395 L. B. MCLEOD ROAD
ORLANDO FL
32811-2952
US

IV. Provider business mailing address

5395 L B MCLEOD RD
ORLANDO FL
32811-2952
US

V. Phone/Fax

Practice location:
  • Phone: 407-292-0177
  • Fax: 407-292-2773
Mailing address:
  • Phone: 407-292-0177
  • Fax: 407-292-2773

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARSHA LORENZ
Title or Position: PRESIDENT / CEO
Credential:
Phone: 407-292-0177