Organization
COMMUNITY SENIORSERV, INC.
Active
Organization
COMMUNITY SENIORSERV, INC.
Active
Other names
SANTA ANA VIP ADULT DAY HEALTH CARE
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY HAGLER (EXECUTIVE DIRECTOR)
(714) 220-0224
Entity
Organization
Contact information
Practice address
1101 S GRAND AVE, SANTA ANA, CA 92705-4100
(714) 558-1216
(714) 564-0386
Mailing address
1200 N KNOLLWOOD CIR, ANAHEIM, CA 92801-1309
(714) 220-0224
(714) 816-7397
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
060000064
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013679
SCAN PROVIDER ID
CA
05
—
ADU70080F
—
CA
Enumeration date
04/18/2007
Last updated
02/24/2015
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