MEDICARE: J SENECHAL ENTERPRISE 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	252Y00000X	Early Intervention Provider Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740698208
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J SENECHAL ENTERPRISE INC

Provider Business Mailing Address
First Line	:	6950 COUNTRY PLACE RD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33411-2608
Country	:	US
Telephone Number	:	561-707-7887
Fax Number	:

Provider Business Practice Location Address
First Line	:	6950 COUNTRY PLACE RD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33411-2608
Country	:	US
Telephone Number	:	561-707-7887
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. JENNY LYNN HALPIN
Credential	:
Telephone Number	:	561-707-7887

Provider Enumeration Date	:	07/29/2014
Last Update Date	:	07/29/2014

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