Organization
SENIOR SMART, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL MACK OTR (PRESIDENT)
(410) 259-6622
Entity
Organization
Contact information
Practice address
1430 PROGRESS WAY STE 105, ELDERSBURG, MD 21784-6461
(410) 259-6622
(443) 973-1012
Mailing address
1430 PROGRESS WAY STE 105, ELDERSBURG, MD 21784-6461
(410) 259-6622
(443) 973-1012
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/28/2011
Last updated
03/17/2018
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