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Organization
SENIOR RESOURCES OF THE WEST
Active
Organization
SENIOR RESOURCES OF THE WEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY POWELL (VICE PRESIDENT)
(925) 956-7397
Entity
Organization
Contact information
Practice address
1425 N MCDOWELL BLVD STE 110, PETALUMA, CA 94954-6517
(415) 583-4789
Mailing address
1425 N MCDOWELL BLVD STE 110, PETALUMA, CA 94954-6517
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
494700013
CA
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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