| NPI | 1659075489 |
|---|---|
| Former Legal Business Name | SENIORAVENUE LLC |
| Entity Type | Organization |
| Authorized Contact | ANDREA YVETTE BROWN Managing Agent 510-722-1959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2023-09-06 |