Healthcare Provider Details

I. General information

NPI: 1225150188
Provider Name (Legal Business Name): SENIOR MEDICAL SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 08/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 LINCOLN AVE
HATBORO PA
19040-2224
US

IV. Provider business mailing address

400 LINCOLN AVE
HATBORO PA
19040-2224
US

V. Phone/Fax

Practice location:
  • Phone: 215-444-0707
  • Fax:
Mailing address:
  • Phone: 215-444-0707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. STEPHEN BROWN
Title or Position: OPTICIAN
Credential:
Phone: 215-444-0707