Healthcare Provider Details

I. General information

NPI: 1366966848
Provider Name (Legal Business Name): SERVICING SENIORS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 GOODSON LN NW
ATLANTA GA
30309-1904
US

IV. Provider business mailing address

313 GOODSON LN NW
ATLANTA GA
30309-1904
US

V. Phone/Fax

Practice location:
  • Phone: 404-270-0675
  • Fax: 801-843-8845
Mailing address:
  • Phone: 404-270-0675
  • Fax: 801-843-8845

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number2025497747
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number2025497747
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number2025497747
License Number StateGA

VIII. Authorized Official

Name: MR. LEONARD CHARLES LAMB JR.
Title or Position: C.O.O.
Credential:
Phone: 404-270-0675