Organization
HUMBOLDT SENIOR RESOURCE CENTER, INCORPORATED
Active
Other names
Adult Day Health & Alzheimer's Services
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA HOOVEN (CHIEF EXECUTIVE OFFICER)
(707) 443-9747
Entity
Organization
Contact information
Practice address
1910 CALIFORNIA ST., EUREKA, CA 95501
(707) 443-9747
(707) 443-3498
Mailing address
1910 CALIFORNIA ST., EUREKA, CA 95501
(707) 443-9747
(707) 443-3498
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
ADU70031F
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ADU70031F
—
CA
Enumeration date
05/03/2007
Last updated
01/20/2021
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