Organization
COMMUNITY SENIORSERV, INC.
Active
Other names
ANAHEIM 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
1158 N KNOLLWOOD CIR, ANAHEIM, CA 92801-1307
(714) 220-2114
(714) 220-1406
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
060000244
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010695
SCAN PROVIDER ID
CA
05
—
ADU70057F
—
CA
Enumeration date
04/18/2007
Last updated
02/24/2015
About Stedi
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