Provider Demographics
NPI:1063256543
Name:ASSISTED LIVING SERVICES, INC.
Entity type:Organization
Organization Name:ASSISTED LIVING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOOKKEEPER/TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZELANICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-845-2941
Mailing Address - Street 1:PO BOX 5719
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95502-5719
Mailing Address - Country:US
Mailing Address - Phone:707-496-8298
Mailing Address - Fax:
Practice Address - Street 1:321 W WABASH AVE
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95501-2819
Practice Address - Country:US
Practice Address - Phone:707-496-8298
Practice Address - Fax:707-798-1357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-20
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care