Healthcare Provider Details

I. General information

NPI: 1386694057
Provider Name (Legal Business Name): SENIOR SOLUTIONS GROUP INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 12/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 N 700 E
SPRINGVILLE UT
84663
US

IV. Provider business mailing address

127 N 700 E
SPRINGVILLE UT
84663
US

V. Phone/Fax

Practice location:
  • Phone: 801-704-0785
  • Fax: 801-922-1314
Mailing address:
  • Phone: 801-704-0785
  • Fax: 801-922-1314

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number2011-HHA-101011
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number1047
License Number StateUT

VIII. Authorized Official

Name: MR. MICHAEL K MCDONALD
Title or Position: OWNER
Credential: PRESIDENT
Phone: 801-704-0785