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General NPI Number Information
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NPI Number | 1588865695
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Entity Type | Organization
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Legal Business Name | SENIOR SERVICES, INC.
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 02/11/2013
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Provider Practice Location Address
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Address Line | 2895 SHOREFAIR DR
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City | WINSTON SALEM
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State | NC
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Zip | 27105-4237
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Country | US
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Telephone | 336-725-0907
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Fax | 336-724-2010
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Provider Business Mailing Address
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Address Line | 2895 SHOREFAIR DR
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City | WINSTON SALEM
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State | NC
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Zip | 27105-4237
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Country | US
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Telephone | 336-725-0907
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Fax | 336-724-2010
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MS. ROBIN C. MODICA
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Credential |
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Telephone | 336-721-6902
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HC0460
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License Number State | NC
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