Provider Demographics
NPI:1316513179
Name:SENIOR LIFE CARE SOLUTIONS LLC
Entity type:Organization
Organization Name:SENIOR LIFE CARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:GEISMAR
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:772-212-2115
Mailing Address - Street 1:1928 SW PINEWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:PALM CITY
Mailing Address - State:FL
Mailing Address - Zip Code:34990-1364
Mailing Address - Country:US
Mailing Address - Phone:772-485-1112
Mailing Address - Fax:772-382-2888
Practice Address - Street 1:1928 SW PINEWOOD WAY
Practice Address - Street 2:
Practice Address - City:PALM CITY
Practice Address - State:FL
Practice Address - Zip Code:34990-1364
Practice Address - Country:US
Practice Address - Phone:772-485-1112
Practice Address - Fax:772-382-2888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-02
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty