Organization · Type 2 NPI

Humboldt Senior Resource Center

Adult Day Care Clinic/Center · Fortuna, CA

NPI number 1750503348 Active

Practice location

3200 Newburg Road
Fortuna, CA 95540-2511

Call (707) 443-9747 Map

Fax (707) 443-3498

Mailing address

1910 California St
Eureka, CA 95501-2870

Specialties and licenses

Taxonomy	Code	License
Adult Day Care Clinic/Center Primary	261QA0600X	ADU70071F (CA)

Adult Day Care Clinic/Center: Definition to come...

NPI record

NPI: 1750503348
Entity type: Organization (Type 2)
Issued: May 3, 2007
Last updated: May 22, 2020
Status: Active

Other names

<unavail>
Fortuna Adult Day Health Care · doing business as
Fortuna Adult Day Health Care · doing business as

Authorized official

Melissa Hooven
Chief Executive Officer
(707) 443-9747

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1750503348

Humboldt Senior Resource Center's National Provider Identifier is 1750503348, issued on May 3, 2007. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Fortuna, CA. The record was last updated on May 22, 2020.