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NPI Code Detail

MEDICARE: SENIOR NETWORK, INC.

MEDICARE: SENIOR NETWORK, INC.
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
1261QA0600XAdult Day Care Clinic/Center17311MD

General Provider Information

NPI Number : 1194844720
Entity Type Code : Organization
Provider Name (Legal Business Name) : SENIOR NETWORK, INC.
Provider Business Mailing Address
First Line : 11665 DOOLITTLE DR
Second Line :
City : WALDORF
State : MD
Zip : 20602-2898
Country : US
Telephone Number : 301-638-0502
Fax Number : 301-970-2459
Provider Business Practice Location Address
First Line : 11665 DOOLITTLE DR
Second Line :
City : WALDORF
State : MD
Zip : 20602-2898
Country : US
Telephone Number : 301-638-0502
Fax Number : 301-970-2459
Authorized Official
Title or Position : DIRECTOR OF OPERATIONS
Name : MRS. KARIN MUECK LAKIN
Credential :
Telephone Number : 301-749-7611
Provider Enumeration Date : 03/28/2007
Last Update Date : 08/22/2020

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