Organization
SENIOR NETWORK SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COREY AZEVEDO (EXECUTIVE DIRECTOR)
(831) 200-3195
Entity
Organization
Contact information
Practice address
1777A CAPITOLA RD, SANTA CRUZ, CA 95062-3024
(831) 462-1433
Mailing address
1777A CAPITOLA RD, SANTA CRUZ, CA 95062-3024
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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