Provider Demographics
NPI:1720494842
Name:SERVING SENIORS
Entity Type:Organization
Organization Name:SERVING SENIORS
Other - Org Name:SENIOR COMMUNITY CENTERS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:DOWNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-487-0650
Mailing Address - Street 1:525 14TH ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101-7544
Mailing Address - Country:US
Mailing Address - Phone:619-235-6572
Mailing Address - Fax:619-235-9829
Practice Address - Street 1:1525 4TH AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101-3107
Practice Address - Country:US
Practice Address - Phone:619-235-6538
Practice Address - Fax:619-544-9811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-09
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management