Provider Demographics
NPI:1093188716
Name:SENIORS IN NEED INC
Entity type:Organization
Organization Name:SENIORS IN NEED INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:R
Authorized Official - Last Name:GOMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-587-9946
Mailing Address - Street 1:PO BOX 311959
Mailing Address - Street 2:
Mailing Address - City:ENTERPRISE
Mailing Address - State:AL
Mailing Address - Zip Code:36331
Mailing Address - Country:US
Mailing Address - Phone:334-723-4005
Mailing Address - Fax:
Practice Address - Street 1:310 AVE H
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:AL
Practice Address - Zip Code:36344
Practice Address - Country:US
Practice Address - Phone:334-723-4005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SENIORS IN NEED INC. DBA: AMERICA'S FIRST
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-11-03
Last Update Date:2015-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL344279253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care