| Organization Name: | SOUTH COUNTY SENIOR SERVICES |
| NPI Number: | 1295944155 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JACK WALTER LIGHT (PROGRAM DIRECTOR) |
| Mailing Address: | 24300 El Toro Rd Bldg. A Laguna Woods |
| State: | CA US |
| Postal Code: | 926372737 |
| Phone Number: | 9498559444 |
| Fax Number: | 9498554093 |
| NPI Enumeration Date: | 05/21/2007 |
| NPI Last Update Date: | 07/09/2007 |
| 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: | |