# SENIOR CARE ONE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295386654
- **Authorized official:** KEN BUEG (OWNER)
- **Authorized official phone:** (731) 697-4662

## Contact information

- **Practice address:** 13134 VAIL RIDGE DR, RIVERVIEW, FL 33579-7187
- **Practice address phone:** (731) 697-4662
- **Mailing address:** 13134 VAIL RIDGE DR, RIVERVIEW, FL 33579-7187
- **Mailing address phone:** (731) 697-4662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/26/2019
- **Last updated:** 11/05/2019