# SENIOR SUPPORT PROGRAM OF THE TRI-VALLEY

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

## Provider details

- **NPI number:** 1679004311
- **Authorized official:** MR. ROBERT TAYLOR (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (925) 931-5395

## Contact information

- **Practice address:** 5353 SUNOL BLVD, PLEASANTON, CA 94566-7607
- **Practice address phone:** (925) 931-4820
- **Mailing address:** 5353 SUNOL BLVD, PLEASANTON, CA 94566-7607
- **Mailing address phone:** (925) 931-4820

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 29536 | CA | Yes |

## Other

- **Enumeration date:** 03/24/2017
- **Last updated:** 03/24/2017