Organization
REDWOOD COAST PACE
Active
Parent organization
HUMBOLDT SENIOR RESOURCE CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
HUMBOLDT SENIOR RESOURCE CENTER
Authorized official
MS. JOYCE A HAYES RDMS (EXECUTIVE DIRECTOR)
(707) 443-9747
Entity
Organization
Contact information
Practice address
1901 CALIFORNIA ST, EUREKA, CA 95501-2809
(707) 443-9747
(707) 443-3498
Mailing address
1910 CALIFORNIA ST, EUREKA, CA 95501-2870
(707) 443-9747
(707) 443-3498
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164644746
—
CA
05
—
MSS00009F
—
CA
Enumeration date
10/04/2013
Last updated
10/04/2013
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