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NPI Code Detail

MEDICARE: HUMBOLDT SENIOR RESOURCE CENTER INCORPORATED

MEDICARE: HUMBOLDT SENIOR RESOURCE CENTER INCORPORATED
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
1251B00000XCase Management AgencyCA
2261QM0850XAdult Mental Health Clinic/Center

General Provider Information

NPI Number : 1356599278
Entity Type Code : Organization
Provider Name (Legal Business Name) : HUMBOLDT SENIOR RESOURCE CENTER INCORPORATED
Provider Business Mailing Address
First Line : 1910 CALIFORNIA ST
Second Line :
City : EUREKA
State : CA
Zip : 95501-2870
Country : US
Telephone Number : 707-443-9747
Fax Number : 707-443-7277
Provider Business Practice Location Address
First Line : 3770 JANES RD
Second Line :
City : ARCATA
State : CA
Zip : 95521-4744
Country : US
Telephone Number : 707-443-9747
Fax Number : 707-443-7277
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MELISSA HOOVEN
Credential :
Telephone Number : 707-443-9747
Provider Enumeration Date : 09/04/2008
Last Update Date : 03/11/2026

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Directions to “HUMBOLDT SENIOR RESOURCE CENTER INCORPORATED ” Practice Location

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