Organization Name: | SENIOR ACCESS |
NPI Number: | 1104048495 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CRIS CHATER (EXECUTIVE DIRECTOR) |
Mailing Address: | 1905 Novato Blvd Novato |
State: | CA US |
Postal Code: | 949472912 |
Phone Number: | 4158976884 |
Fax Number: | |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Day Care |
Taxonomy Definition: |