Healthcare Provider Details

I. General information

NPI: 1710042254
Provider Name (Legal Business Name): SENIOR CITIZENS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3025 BULL ST
SAVANNAH GA
31405-2016
US

IV. Provider business mailing address

3025 BULL ST
SAVANNAH GA
31405-2016
US

V. Phone/Fax

Practice location:
  • Phone: 912-236-0363
  • Fax: 912-236-3030
Mailing address:
  • Phone: 912-236-0363
  • Fax: 912-236-3030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LINDA M LUCAS
Title or Position: ACCTS RECEIVABLE CLERK
Credential:
Phone: 912-236-0363