Organization
SENIORSERV, INC.
Active
Other names
Community SeniorServ, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY HAGLER (CEO)
(714) 220-0224
Entity
Organization
Contact information
Practice address
1200 N KNOLLWOOD CIR, ANAHEIM, CA 92801-1309
(714) 220-0224
Mailing address
1200 N KNOLLWOOD CIR, ANAHEIM, CA 92801-1309
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
06000244
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CT-0912-0018
DEPARTMENT OF HEALTH & HUMAN SERVICES CMS
CA
Enumeration date
03/27/2013
Last updated
03/27/2013
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