Provider Demographics
NPI:1174226955
Name:A-Z SENIOR HOME SAFETY ADVISOR
Entity type:Organization
Organization Name:A-Z SENIOR HOME SAFETY ADVISOR
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:BRUNETTE
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:210-989-0980
Mailing Address - Street 1:1864 N LOOP 1604 W
Mailing Address - Street 2:SUITE 205
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78248-4539
Mailing Address - Country:US
Mailing Address - Phone:210-989-0980
Mailing Address - Fax:210-903-4628
Practice Address - Street 1:1864 N LOOP 1604 W
Practice Address - Street 2:SUITE 205
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78248-5394
Practice Address - Country:US
Practice Address - Phone:210-989-0980
Practice Address - Fax:210-903-4628
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-22
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health