MEDICARE: SENIOR SUPPORT SERVICES 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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1417128588
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SENIOR SUPPORT SERVICES INC

Provider Business Mailing Address
First Line	:	900 COMMONWEALTH PL
Second Line	:	SUITE 207
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23464-4517
Country	:	US
Telephone Number	:	757-353-6680
Fax Number	:	757-353-6682

Provider Business Practice Location Address
First Line	:	900 COMMONWEALTH PL
Second Line	:	SUITE 207
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23464-4517
Country	:	US
Telephone Number	:	757-353-6680
Fax Number	:	757-353-6682

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	MS. DIANNE E CESVETTE
Credential	:
Telephone Number	:	757-353-6680

Provider Enumeration Date	:	03/17/2008
Last Update Date	:	04/09/2008

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Directions to “SENIOR SUPPORT SERVICES INC ” Practice Location

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