Healthcare Provider Details

I. General information

NPI: 1174954721
Provider Name (Legal Business Name): SARATOGA SENIOR COORDINATING COUNCIL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2013
Last Update Date: 12/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19655 ALLENDALE AVE
SARATOGA CA
95070
US

IV. Provider business mailing address

19655 ALLENDALE AVE
SARATOGA CA
95070
US

V. Phone/Fax

Practice location:
  • Phone: 408-868-1257
  • Fax: 408-868-9546
Mailing address:
  • Phone: 408-868-1257
  • Fax: 408-868-9546

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SUSAN HUFF
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 408-868-1255