Healthcare Provider Details

I. General information

NPI: 1194873679
Provider Name (Legal Business Name): SENIORITY SOCIAL & ADULT DAY CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 ARNOLD AVE
SPRINGFIELD MA
01119-1406
US

IV. Provider business mailing address

16 ARNOLD AVE
SPRINGFIELD MA
01119-1406
US

V. Phone/Fax

Practice location:
  • Phone: 413-782-8008
  • Fax: 413-782-8098
Mailing address:
  • Phone: 413-782-8008
  • Fax: 413-782-8098

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number1903187
License Number StateMA

VIII. Authorized Official

Name: MRS. SHARON LEIGH OBER
Title or Position: ADMINISTRATOR
Credential: R.N.
Phone: 413-782-8008