Provider Demographics
NPI:1790081040
Name:EASTER SEALS BAY AREA
Entity Type:Organization
Organization Name:EASTER SEALS BAY AREA
Other - Org Name:EASTER SEALS SOCIETY OF THE BAY AREA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CONTRACT COMPLIANCE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:N
Authorized Official - Last Name:MACALOON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-508-3724
Mailing Address - Street 1:391 TAYLOR BLVD
Mailing Address - Street 2:STE 250
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-2294
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7425 LARKDALE AVE
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568
Practice Address - Country:US
Practice Address - Phone:925-828-8857
Practice Address - Fax:925-828-5245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-03
Last Update Date:2013-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services