Provider Demographics
NPI:1154877496
Name:SENIOR RESOURCES
Entity type:Organization
Organization Name:SENIOR RESOURCES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:POCI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-263-7292
Mailing Address - Street 1:1808 MULBERRY AVE
Mailing Address - Street 2:
Mailing Address - City:MUSCATINE
Mailing Address - State:IA
Mailing Address - Zip Code:52761-3529
Mailing Address - Country:US
Mailing Address - Phone:563-263-7292
Mailing Address - Fax:
Practice Address - Street 1:1808 MULBERRY AVE
Practice Address - Street 2:
Practice Address - City:MUSCATINE
Practice Address - State:IA
Practice Address - Zip Code:52761-3529
Practice Address - Country:US
Practice Address - Phone:563-263-7292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-28
Last Update Date:2016-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAX000127621OtherIRS TAXONOMY