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NPI Code Detail

MEDICARE: ORLANDO SENIOR CARE SERVICES LLC

MEDICARE: ORLANDO SENIOR CARE SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1124848825
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORLANDO SENIOR CARE SERVICES LLC
Provider Business Mailing Address
First Line : 11929 PIONEERS WAY APT 1221
Second Line :
City : ORLANDO
State : FL
Zip : 32832-2866
Country : US
Telephone Number : 631-664-1783
Fax Number :
Provider Business Practice Location Address
First Line : 3680 AVALON PARK EAST BLVD STE 210
Second Line :
City : ORLANDO
State : FL
Zip : 32828-9373
Country : US
Telephone Number : 631-664-1783
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. JOHNNIE ASENCIO
Credential :
Telephone Number : 531-664-1783
Provider Enumeration Date : 10/16/2024
Last Update Date : 10/16/2024

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Directions to “ORLANDO SENIOR CARE SERVICES LLC ” Practice Location

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