Organization
SENIOR CARE ONE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEN BUEG (OWNER)
(731) 697-4662
Entity
Organization
Contact information
Practice address
13134 VAIL RIDGE DR, RIVERVIEW, FL 33579-7187
(731) 697-4662
Mailing address
13134 VAIL RIDGE DR, RIVERVIEW, FL 33579-7187
(731) 697-4662
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
11/05/2019
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