MEDICARE: SENECA FAMILY OF AGENCIES

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
1	251S00000X	Community/Behavioral Health Agency
2	253J00000X	Foster Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376014134
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SENECA FAMILY OF AGENCIES

Provider Business Mailing Address
First Line	:	2275 ARLINGTON DR
Second Line	:
City	:	SAN LEANDRO
State	:	CA
Zip	:	94578-1132
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1506 CENTINELA AVE
Second Line	:
City	:	INGLEWOOD
State	:	CA
Zip	:	90302-1144
Country	:	US
Telephone Number	:	510-317-1446
Fax Number	:	510-317-1443

Authorized Official
Title or Position	:	QUALITY ASSURANCE DIRECTOR
Name	:	SANDY HOBSON
Credential	:
Telephone Number	:	510-725-5727

Provider Enumeration Date	:	12/05/2018
Last Update Date	:	03/10/2020

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Directions to “SENECA FAMILY OF AGENCIES ” Practice Location

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