Provider Demographics
NPI:1992303903
Name:SENIOR AND VETERAN ADULT DAY SERVICES LLC
Entity type:Organization
Organization Name:SENIOR AND VETERAN ADULT DAY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:S
Authorized Official - Last Name:ABDULKAREEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-421-9747
Mailing Address - Street 1:12404 BLUE RIDGE EXT
Mailing Address - Street 2:
Mailing Address - City:GRANDVIEW
Mailing Address - State:MO
Mailing Address - Zip Code:64030-1741
Mailing Address - Country:US
Mailing Address - Phone:816-421-9747
Mailing Address - Fax:
Practice Address - Street 1:12404 BLUE RIDGE EXT
Practice Address - Street 2:
Practice Address - City:GRANDVIEW
Practice Address - State:MO
Practice Address - Zip Code:64030-1741
Practice Address - Country:US
Practice Address - Phone:816-421-9747
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-12
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care