Organization
COMMUNITY SENIORSERV, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HOLLY HAGLER (CEO)
(714) 220-0224
Entity
Organization
Contact information
Practice address
1200 N KNOLLWOOD CIR, ANAHEIM, CA 92801-1309
(714) 220-0224
(714) 816-7397
Mailing address
1200 N KNOLLWOOD CIR, ANAHEIM, CA 92801-1309
(714) 220-0224
(714) 816-7397
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
BUS2007-04335
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710104344
—
CA
05
—
1770709305
—
CA
Enumeration date
11/21/2011
Last updated
11/21/2011
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