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NPI Code Detail

MEDICARE: DEL NORTE SENIOR CENTER

MEDICARE: DEL NORTE SENIOR CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332U00000XHome Delivered Meals

General Provider Information

NPI Number : 1780309955
Entity Type Code : Organization
Provider Name (Legal Business Name) : DEL NORTE SENIOR CENTER
Provider Business Mailing Address
First Line : 1765 NORTHCREST DR
Second Line :
City : CRESCENT CITY
State : CA
Zip : 95531-8922
Country : US
Telephone Number : 707-464-3812
Fax Number :
Provider Business Practice Location Address
First Line : 1765 NORTHCREST DR
Second Line :
City : CRESCENT CITY
State : CA
Zip : 95531-8922
Country : US
Telephone Number : 707-464-3812
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : CHARLAINE MAZZEI
Credential :
Telephone Number : 707-464-3812
Provider Enumeration Date : 10/10/2022
Last Update Date : 10/10/2022

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Directions to “DEL NORTE SENIOR CENTER ” Practice Location

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