| Senior House Call Svc Inc | |
|
1515 9th St W Palmetto FL 34221-4463 | |
| (941) 891-5643 | |
| (941) 981-5644 |
| Full Name | Senior House Call Svc Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 1515 9th St W, Palmetto, Florida |
| Authorized Official Name and Position | John A Johnson (PRESIDENT) |
| Authorized Official Contact | 9419815643 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior House Call Svc Inc 1515 9th Street W Palmetto FL 34221-4463 Ph: (941) 981-5642 | Senior House Call Svc Inc 1515 9th St W Palmetto FL 34221-4463 Ph: (941) 891-5643 |
| NPI Number | 1013241801 |
|---|---|
| Provider Enumeration Date | 09/25/2009 |
| Last Update Date | 10/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013241801 | NPI | - | NPPES |
| 001642900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | ME23667 (Florida) | Primary |
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