Provider Demographics
NPI:1912732033
Name:SPENCER CARE LLC
Entity type:Organization
Organization Name:SPENCER CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DELANEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-797-4819
Mailing Address - Street 1:113 RIVERWALK BLVD S
Mailing Address - Street 2:SUITE 111 PMB 284
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93636-8182
Mailing Address - Country:US
Mailing Address - Phone:408-797-4819
Mailing Address - Fax:
Practice Address - Street 1:575 E LOCUST AVE STE 203
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-2928
Practice Address - Country:US
Practice Address - Phone:559-500-3070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care